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General NPI Number Information
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NPI Number | 1891589941
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Entity Type | Organization
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Legal Business Name | PAYMON A DORRI DDS PLLC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 5761 MORGAN RD E
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City | BATTLE CREEK
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State | MI
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Zip | 49037-2659
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Country | US
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Telephone | 269-968-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 25680 PONTIAC TRL STE 103
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City | SOUTH LYON
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State | MI
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Zip | 48178-8046
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Country | US
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Telephone | 248-567-2479
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAYMON DORRI
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Credential | DDS
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Telephone | 248-567-2479
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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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