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General NPI Number Information
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NPI Number | 1952721037
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Entity Type | Organization
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Legal Business Name | TRUE GRIN DENTAL HYGIENE SERVICES, LLC
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 226 S NEVADA AVE
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City | MONTROSE
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State | CO
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Zip | 81401-4234
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Country | US
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Telephone | 970-249-4746
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Fax | 970-249-1344
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Provider Business Mailing Address
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Address Line | 236 S 3RD ST # 294
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City | MONTROSE
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State | CO
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Zip | 81401-3618
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Country | US
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Telephone | 970-249-4746
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Fax | 970-249-1344
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Authorized Official
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Title or Position | OWNER/ HYGIENIST
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Name | MARGARET LILLIAN SPENCER
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Credential | RDH
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Telephone | 970-249-4746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DH200841
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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