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General NPI Number Information
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NPI Number | 1760399570
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Entity Type | Organization
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Legal Business Name | JOURNEY DENTAL LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 6003 HONORE AVE STE 102
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City | SARASOTA
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State | FL
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Zip | 34238-5717
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Country | US
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Telephone | 941-529-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 6003 HONORE AVE STE 102
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City | SARASOTA
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State | FL
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Zip | 34238-5717
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Country | US
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Telephone | 941-529-0345
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Fax | 941-529-0360
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Authorized Official
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Title or Position | MANAGER
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Name | DANIEL PURCELL
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Credential |
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Telephone | 941-529-0348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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