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General NPI Number Information
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NPI Number | 1740315738
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Entity Type | Organization
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Legal Business Name | THOMAS AND DRAGONETTE DDS PLLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 121 BUFFALO ST
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City | HAMBURG
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State | NY
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Zip | 14075-5004
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Country | US
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Telephone | 716-648-6661
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Fax |
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Provider Business Mailing Address
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Address Line | 121 BUFFALO STREET
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City | HAMBURG
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State | NY
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Zip | 14075
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Country | US
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Telephone | 716-648-6661
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. NICHOLAS J DRAGONETTE II
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Credential | DDS
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Telephone | 716-648-6661
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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 | 035714
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License Number State | NY
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