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General NPI Number Information
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NPI Number | 1740246248
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Entity Type | Organization
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Legal Business Name | NORTHROCK DENTAL, PA
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7707 E 29TH ST N
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City | WICHITA
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State | KS
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Zip | 67226-3403
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Country | US
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Telephone | 316-636-1222
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Fax | 316-636-1268
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Provider Business Mailing Address
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Address Line | 7707 E 29TH ST N
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City | WICHITA
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State | KS
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Zip | 67226-3403
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Country | US
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Telephone | 316-636-1222
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Fax | 316-636-1268
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRICK R SCHEER
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Credential | DMD
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Telephone | 316-636-1222
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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 | 5913
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License Number State | KS
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