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General NPI Number Information
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NPI Number | 1760319602
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Entity Type | Organization
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Legal Business Name | BLUETOOTH ENDO LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 6760 JAMESTOWN DR
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City | ALPHARETTA
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State | GA
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Zip | 30005-3030
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Country | US
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Telephone | 770-284-1714
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Fax |
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Provider Business Mailing Address
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Address Line | 1343 SIESTA LN
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City | MARIETTA
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State | GA
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Zip | 30062-2815
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Country | US
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Telephone | 646-771-6675
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Fax |
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Authorized Official
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Title or Position | OWNER/ENDODONTIST
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Name | DR. JEANNETTE MARIE JIMENEZ-RODRIGUEZ
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Credential | DMD
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Telephone | 646-771-6675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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