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General NPI Number Information
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NPI Number | 1831130665
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Entity Type | Organization
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Legal Business Name | PLYMOUTH GENERAL DENTISTRY, PLLC
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 65 HIGHLAND ST
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City | PLYMOUTH
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State | NH
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Zip | 03264-1232
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Country | US
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Telephone | 603-536-4301
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Fax | 603-536-1984
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Provider Business Mailing Address
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Address Line | 65 HIGHLAND ST
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City | PLYMOUTH
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State | NH
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Zip | 03264-1232
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Country | US
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Telephone | 603-536-4301
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Fax | 603-536-1984
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Authorized Official
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Title or Position | DR. PATRICIA MCCALL, D.D.S.
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Name | DR. PATRICIA C. MCCALL
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Credential | D.D.S.
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Telephone | 603-536-4301
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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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