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General NPI Number Information
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NPI Number | 1962203695
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Entity Type | Organization
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Legal Business Name | TOOTH AND TOX
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 954 SEVEN HILLS CONNECTOR STE 104
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City | ACWORTH
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State | GA
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Zip | 30101-8101
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Country | US
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Telephone | 470-517-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 FERN MOUNTAIN LN
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City | MARIETTA
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State | GA
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Zip | 30064-3311
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Country | US
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Telephone | 404-406-9918
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Fax | 404-406-9918
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. RHODA-LEANN NORRIS
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Credential | DMD
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Telephone | 404-406-9918
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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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