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NPI 1700982329

NPI 1700982329 : JEFFREY B DOSS DDS : FALMOUTH, ME

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General NPI Number Information
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    NPI Number           |    1700982329
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY B DOSS DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/15/2006
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    Last Update Date     |    09/13/2024
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Provider Practice Location Address
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    Address Line         |    3 CORDELIA WAY 
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    City                 |    FALMOUTH
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    State                |    ME
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    Zip                  |    04105-1492
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    Country              |    US
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    Telephone            |    207-838-6029
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    440 WESTERN AVENUE 
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    City                 |    SOUTH PORTLAND
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    State                |    ME
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    Zip                  |    04106
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    Country              |    US
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    Telephone            |    207-774-2611
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    Fax                  |    207-774-2613
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    3283
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    License Number State |    ME
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