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General NPI Number Information
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NPI Number | 1922841329
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Entity Type | Organization
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Legal Business Name | TIMBERLANE DENTAL ASSOCIATES, PLC
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Dates
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Enumeration Date | 06/14/2024
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 60 TIMBER LN
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7214
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Country | US
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Telephone | 802-255-8228
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Fax | 802-636-5995
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Provider Business Mailing Address
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Address Line | 60 TIMBER LN
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-7214
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Country | US
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Telephone | 802-255-8228
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Fax | 802-636-5335
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Authorized Official
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Title or Position | SR RCM MANAGER
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Name | SINDEY LONES
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Credential |
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Telephone | 612-355-7792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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