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General NPI Number Information
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NPI Number | 1861281016
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Entity Type | Organization
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Legal Business Name | DENTAL PARTNERS
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 850 N MAIN STREET EXT STE 2A2
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City | WALLINGFORD
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State | CT
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Zip | 06492-2483
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Country | US
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Telephone | 203-626-5581
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Fax | 203-200-7953
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Provider Business Mailing Address
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Address Line | 850 N MAIN STREET EXT STE 2A2
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City | WALLINGFORD
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State | CT
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Zip | 06492-2483
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Country | US
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Telephone | 203-626-5581
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Fax | 203-200-7953
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROSA BRUNELLE
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Credential |
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Telephone | 203-314-9493
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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