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General NPI Number Information
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NPI Number | 1770378119
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Entity Type | Organization
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Legal Business Name | JARRETT DARRAH, D.D.S., PLLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 171 OLD NC-58 SUITE 2
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City | CEDAR POINT
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State | NC
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Zip | 28584
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Country | US
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Telephone | 770-316-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 304 BAHIA LN
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City | CAPE CARTERET
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State | NC
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Zip | 28584-9285
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Country | US
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Telephone | 770-316-4460
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JARRETT DARRAH
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Credential | DDS
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Telephone | 770-316-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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