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General NPI Number Information
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NPI Number | 1801758446
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Entity Type | Organization
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Legal Business Name | TROY DENTAL ASSOCIATES LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 500 EDWARDSVILLE ROAD
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City | TROY
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State | IL
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Zip | 62294
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Country | US
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Telephone | 618-656-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 21 GLEN ED PROFESSIONAL PARK
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City | GLEN CARBON
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State | IL
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Zip | 62034-3333
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Country | US
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Telephone | 618-656-0608
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Fax | 618-656-0615
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Authorized Official
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Title or Position | OWNER
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Name | JON SONES
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Credential | DMD
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Telephone | 618-420-3825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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