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General NPI Number Information
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NPI Number | 1700702784
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Entity Type | Organization
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Legal Business Name | MS DENTAL
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 273 TAMIAMI TRL S
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City | VENICE
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State | FL
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Zip | 34285-2420
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Country | US
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Telephone | 941-477-1977
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Fax | 941-477-1442
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Provider Business Mailing Address
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Address Line | 273 TAMIAMI TRL S
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City | VENICE
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State | FL
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Zip | 34285-2420
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Country | US
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Telephone | 941-477-1977
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Fax | 941-477-1442
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Authorized Official
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Title or Position | OWNER
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Name | MEENACHI SELLAPPAN
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Credential | DDS
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Telephone | 941-477-1977
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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 |
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