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General NPI Number Information
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NPI Number | 1821808627
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Entity Type | Organization
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Legal Business Name | DCT DENTAL LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1862 WARWICK AVE
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City | WARWICK
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State | RI
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Zip | 02889-2261
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Country | US
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Telephone | 401-739-5700
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Fax | 401-732-5999
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Provider Business Mailing Address
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Address Line | 1862 WARWICK AVE
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City | WARWICK
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State | RI
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Zip | 02889-2261
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Country | US
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Telephone | 401-739-5700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEAN CARL TRUBSCHENCK
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Credential | DDS
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Telephone | 916-860-9323
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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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