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General NPI Number Information
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NPI Number | 1760396717
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Entity Type | Organization
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Legal Business Name | ADVANCED DENTAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 28535 ORCHARD LAKE RD STE 400
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2918
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Country | US
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Telephone | 248-848-1126
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Fax | 248-848-1190
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Provider Business Mailing Address
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Address Line | 28535 ORCHARD LAKE RD STE 400
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2918
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Country | US
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Telephone | 248-848-1126
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Fax | 248-848-1190
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Authorized Official
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Title or Position | OWNER
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Name | TOSHA PATEL
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Credential |
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Telephone | 734-709-6861
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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 |
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License Number State | NULL
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