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General NPI Number Information
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NPI Number | 1790698645
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Entity Type | Organization
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Legal Business Name | SUNSHINE URGENT DENTAL CARE LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 6789 RIDGE RD STE 301
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City | PARMA
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State | OH
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Zip | 44129-5635
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Country | US
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Telephone | 440-334-9684
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Fax | 440-334-9684
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Provider Business Mailing Address
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Address Line | 6789 RIDGE RD STE 301
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City | PARMA
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State | OH
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Zip | 44129-5635
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Country | US
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Telephone | 440-334-9684
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Fax | 440-334-9684
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. MATTHEW T NOGLE
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Credential | DDS
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Telephone | 440-334-9684
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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 |
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