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General NPI Number Information
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NPI Number | 1801133293
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Entity Type | Individual
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Provider Name | AJAY KUMAR DHINGRA
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Gender | Male
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Dates
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Enumeration Date | 01/06/2013
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 850 N MAIN STREET EXT BLDG 2
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City | WALLINGFORD
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State | CT
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Zip | 06492-2400
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Country | US
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Telephone | 203-949-1701
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Fax | 203-284-9547
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Provider Business Mailing Address
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Address Line | 850 N MAIN STREET EXT BLDG 2
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City | WALLINGFORD
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State | CT
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Zip | 06492-2400
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Country | US
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Telephone | 203-949-1701
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Fax | 203-284-9547
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 010695
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License Number State | CT
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