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General NPI Number Information
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NPI Number | 1780235382
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Entity Type | Organization
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Legal Business Name | A DENTIST 4 KIDS, PLLC
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 1081 LONG POND RD STE 130
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City | ROCHESTER
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State | NY
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Zip | 14626-5002
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Country | US
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Telephone | 585-538-7230
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Fax | 585-538-7231
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Provider Business Mailing Address
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Address Line | 1081 LONG POND RD STE 130
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City | ROCHESTER
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State | NY
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Zip | 14626-5002
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Country | US
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Telephone | 585-538-7230
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Fax | 585-538-7231
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Authorized Official
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Title or Position | OWNER
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Name | DR. ZACHARY MILLS
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Credential | DMD
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Telephone | 585-538-7230
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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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