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General NPI Number Information
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NPI Number | 1831267913
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Entity Type | Organization
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Legal Business Name | ERICKSON DENTAL GROUP
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7117 HICKMAN ROAD
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City | URBANDALE
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State | IA
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Zip | 50322-4851
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Country | US
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Telephone | 515-276-4981
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Fax | 515-276-4864
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Provider Business Mailing Address
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Address Line | 7117 HICKMAN ROAD
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City | URBANDALE
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State | IA
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Zip | 50322-4851
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Country | US
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Telephone | 515-276-4981
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Fax | 515-276-4864
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BRADLEY S ERICKSON
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Credential | DDS
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Telephone | 515-276-4981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 08410
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7898
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License Number State | IA
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