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NPI 1699679373

NPI 1699679373 : OHIO KIDS DENTAL DORR - ROBERTS DMD LLC : TOLEDO, OH

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General NPI Number Information
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    NPI Number           |    1699679373
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    Entity Type          |    Organization 
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    Legal Business Name  |    OHIO KIDS DENTAL DORR - ROBERTS DMD LLC 
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Dates
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    Enumeration Date     |    10/06/2026
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    Last Update Date     |    10/06/2026
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Provider Practice Location Address
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    Address Line         |    5220 DORR STREET STE A
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43615
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    Country              |    US
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    Telephone            |    567-389-9890
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5220 DORR STREET STE A
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    City                 |    TOLEDO
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    State                |    OH
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    Zip                  |    43615
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    Country              |    US
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    Telephone            |    567-389-9890
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CRED MGR
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    Name                 |     TERESA  ZWICKY 
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    Credential           |    
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    Telephone            |    480-866-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    NULL
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