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General NPI Number Information
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NPI Number | 1891672010
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Entity Type | Organization
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Legal Business Name | ALTOONA DENTISTRY IMPLANTS DENTURES, INC.
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 178 FALON LN
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City | ALTOONA
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State | PA
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Zip | 16602-6541
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Country | US
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Telephone | 814-300-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 178 FALON LN
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City | ALTOONA
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State | PA
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Zip | 16602-6541
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Country | US
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Telephone | 814-300-0333
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Fax | 814-283-5580
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Authorized Official
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Title or Position | CEO
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Name | DAVID T PENNINGTON
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Credential |
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Telephone | 814-300-0333
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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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