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General NPI Number Information
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NPI Number | 1730026378
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Entity Type | Organization
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Legal Business Name | PRESTIGE DENTAL CARE
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 26800 PONTIAC TRL
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City | SOUTH LYON
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State | MI
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Zip | 48178-9261
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Country | US
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Telephone | 248-491-3022
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Fax |
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Provider Business Mailing Address
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Address Line | 47673 ALPINE DR
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City | NOVI
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State | MI
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Zip | 48374-4412
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Country | US
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Telephone | 734-657-4656
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEVI SACHDEVA KAPUR
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Credential | DDS
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Telephone | 734-657-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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