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General NPI Number Information
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NPI Number | 1952944720
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Entity Type | Organization
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Legal Business Name | UMPHLETT-ARENS DDS, PLLC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 5145 CENTENNIAL BLVD STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-4426
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Country | US
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Telephone | 719-593-0263
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 SAWMILL RD APT 525
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City | SANTA FE
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State | NM
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Zip | 87505-5687
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Country | US
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Telephone | 402-649-3397
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | DR. DYLAN J ARENS
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Credential | DDS
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Telephone | 402-649-3397
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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 |
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License Number State |
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