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NPI 1851237770

NPI 1851237770 : DONOVAN FAMILY DENTISTRY, LLC : BEAUFORT, SC

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General NPI Number Information
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    NPI Number           |    1851237770
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    Entity Type          |    Organization 
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    Legal Business Name  |    DONOVAN FAMILY DENTISTRY, LLC 
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Dates
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    Enumeration Date     |    04/24/2026
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    Last Update Date     |    04/24/2026
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Provider Practice Location Address
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    Address Line         |    91 SAMS POINT RD 
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    City                 |    BEAUFORT
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    State                |    SC
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    Zip                  |    29907-2010
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    Country              |    US
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    Telephone            |    843-525-6866
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    Fax                  |    843-525-6866
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Provider Business Mailing Address
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    Address Line         |    91 SAMS POINT RD 
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    City                 |    BEAUFORT
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    State                |    SC
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    Zip                  |    29907-2010
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    Country              |    US
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    Telephone            |    843-525-6866
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    Fax                  |    843-525-6866
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     WILLIAM COLLINS DONOVAN 
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    Credential           |    DMD
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    Telephone            |    843-525-6866
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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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