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General NPI Number Information
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NPI Number | 1699644609
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Entity Type | Organization
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Legal Business Name | MIDWEST DENTAL INC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5350 AIRPORT HWY STE 109
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City | TOLEDO
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State | OH
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Zip | 43615-6813
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Country | US
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Telephone | 419-382-8888
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Fax | 419-725-0068
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Provider Business Mailing Address
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Address Line | 5350 AIRPORT HWY STE 109
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City | TOLEDO
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State | OH
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Zip | 43615-6813
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Country | US
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Telephone | 419-382-8888
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Fax | 419-725-0068
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Authorized Official
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Title or Position | OWNER AND OFFICE MANAGER
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Name | GIFT NGO
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Credential |
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Telephone | 419-787-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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