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General NPI Number Information
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NPI Number | 1760131114
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Entity Type | Organization
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Legal Business Name | HD DENTAL LLC
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 333 2ND ST STE 1A
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City | OGDEN
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State | UT
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Zip | 84404-7400
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Country | US
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Telephone | 801-399-9470
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Fax | 801-399-5220
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Provider Business Mailing Address
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Address Line | 333 2ND ST STE 1A
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City | OGDEN
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State | UT
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Zip | 84404-7400
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Country | US
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Telephone | 801-399-9470
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Fax | 801-399-5220
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Authorized Official
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Title or Position | PARTNER
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Name | DR. BRETT HOOPES
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Credential | DDS
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Telephone | 801-317-5848
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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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