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General NPI Number Information
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NPI Number | 1811711047
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Entity Type | Organization
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Legal Business Name | DIGITAL DENTISTRY PLLC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 28435 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-2327
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Country | US
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Telephone | 734-421-3161
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Fax |
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Provider Business Mailing Address
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Address Line | 28435 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-2327
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Country | US
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Telephone | 734-421-3161
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Fax | 734-421-5226
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SANDEEP DHILLON
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Credential |
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Telephone | 734-560-9228
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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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