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General NPI Number Information
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NPI Number | 1831078310
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Entity Type | Organization
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Legal Business Name | SUMMIT DENTAL HEALTH - TOWNE LLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 575 FALLBOOK BLVD STE 107
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City | LINCOLN
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State | NE
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Zip | 68521
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Country | US
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Telephone | 402-467-0007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 437169
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City | LOUISVILLE
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State | KY
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Zip | 40253-7169
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Country | US
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Telephone | 502-254-8500
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Fax |
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Authorized Official
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Title or Position | MANAGER OF PAYER RELATIONS
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Name | HAILEY DAVIS
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Credential |
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Telephone | 502-254-8500
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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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