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General NPI Number Information
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NPI Number | 1912868944
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Entity Type | Organization
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Legal Business Name | ANTOINE PERIODONTICS, PC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 855 W 7TH ST STE 130
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City | RENO
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State | NV
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Zip | 89503-2706
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Country | US
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Telephone | 775-447-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 855 W 7TH ST STE 130
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City | RENO
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State | NV
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Zip | 89503-2706
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Country | US
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Telephone | 775-447-1191
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NATHAN ANTOIND
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Credential | DMD, MS
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Telephone | 636-248-0197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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