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General NPI Number Information
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NPI Number | 1811549926
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Entity Type | Organization
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Legal Business Name | INSPIRE DENTAL IMPLANT ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 6 WILKENS DR STE 205-206
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City | PLAINVILLE
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State | MA
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Zip | 02762-5019
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Country | US
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Telephone | 508-470-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 6 WILKENS DR STE 205-206
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City | PLAINVILLE
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State | MA
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Zip | 02762-5019
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Country | US
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Telephone | 508-470-7001
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RYAN S LEE
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Credential |
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Telephone | 617-833-0158
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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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