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General NPI Number Information
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NPI Number | 1912211947
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Entity Type | Organization
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Legal Business Name | DAVID SILVERGLADE DDS INC
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 6499 E. BROAD SR SUITE 110
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City | COLUMBUS
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-868-9804
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Fax | 614-868-5084
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Provider Business Mailing Address
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Address Line | 6499 E. BROAD STREET SUITE 110
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City | COLUMBUS
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-868-9804
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Fax | 614-868-5084
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Authorized Official
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Title or Position | PRES
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Name | DR. DAVID S SILVERGLADE
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Credential | DDS
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Telephone | 614-868-9804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 30-14734
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License Number State | OH
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