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General NPI Number Information
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NPI Number | 1760375075
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Entity Type | Organization
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Legal Business Name | TEETERS ORTHODONTICS, LLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 7505 W DEER VALLEY RD STE 120
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City | PEORIA
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State | AZ
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Zip | 85382-2107
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Country | US
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Telephone | 623-572-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 7505 W DEER VALLEY RD STE 120
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City | PEORIA
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State | AZ
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Zip | 85382-2107
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Country | US
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Telephone | 623-572-8855
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. CHRISTOPHER TEETERS
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Credential | DMD, MS
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Telephone | 415-608-6148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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