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General NPI Number Information
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NPI Number | 1861792947
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES - ZANESVILLE, MARK H. CLEARY, DDS, INC.
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Dates
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Enumeration Date | 10/23/2010
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 423 ADAIR AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2962
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Country | US
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Telephone | 740-454-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 423 ADAIR AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2962
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Country | US
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Telephone | 740-454-6833
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK CLEARY
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Credential | DDS
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Telephone | 740-454-6833
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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 | 30.022484
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License Number State | OH
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