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General NPI Number Information
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NPI Number | 1871102343
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Entity Type | Organization
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Legal Business Name | LIMESTONE DENTISTRY LLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 2525 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-6005
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Country | US
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Telephone | 812-288-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-6005
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Country | US
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Telephone | 812-288-9300
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. ERIC ROBERT THORNTON
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Credential | DMD
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Telephone | 262-939-2996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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