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General NPI Number Information
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NPI Number | 1902824972
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Entity Type | Organization
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Legal Business Name | TINITY DENTAL CARE INC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1843 HEALTH CARE DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-5363
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Country | US
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Telephone | 727-372-2001
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Fax | 727-372-2400
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Provider Business Mailing Address
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Address Line | 1843 HEALTH CARE DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-5363
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Country | US
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Telephone | 727-372-2001
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Fax | 727-372-2400
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SAIED SHAYES
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Credential | DMD
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Telephone | 727-372-2001
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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 | DN15492
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License Number State | FL
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