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General NPI Number Information
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NPI Number | 1902763311
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Entity Type | Organization
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Legal Business Name | BRECKENRIDGE SIGNATURE DENTAL PLLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 108 N RIDGE ST
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-6496
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Country | US
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Telephone | 970-453-4585
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2751
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City | BRECKENRIDGE
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State | CO
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Zip | 80424-2736
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Country | US
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Telephone | 970-453-4585
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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 | ALEXANDRA LINDAUER
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Credential | DDS
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Telephone | 970-453-4585
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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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