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General NPI Number Information
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NPI Number | 1942348396
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Entity Type | Organization
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Legal Business Name | MATTHEW D DOLLAR DDS, PLLC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12725 PATRICK HENRY DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-9516
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Country | US
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Telephone | 757-874-6712
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Fax | 757-886-1319
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Provider Business Mailing Address
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Address Line | 12725 PATRICK HENRY DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-9516
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Country | US
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Telephone | 757-874-6712
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Fax | 757-886-1319
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SUSAN J BUTLER
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Credential |
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Telephone | 757-874-6712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8854
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License Number State | VA
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