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General NPI Number Information
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NPI Number | 1780467704
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD DENTAL GROUP-DAVID SCURRIA, DDS, LLC
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 221 E HOME RD
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2666
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Country | US
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Telephone | 937-399-7721
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Fax | 937-815-1110
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Provider Business Mailing Address
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Address Line | 221 E HOME RD
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2666
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Country | US
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Telephone | 937-399-7721
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Fax | 937-815-1110
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Authorized Official
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Title or Position | PARTNER
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Name | MATTHEW WILLIAM SCURRIA
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Credential | DDS
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Telephone | 614-330-9151
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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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