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General NPI Number Information
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NPI Number | 1962212373
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Entity Type | Organization
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Legal Business Name | TOMMIE DENTAL, INC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 7800 W OAKLAND PARK BLVD STE 114F
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City | SUNRISE
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State | FL
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Zip | 33351-1122
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Country | US
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Telephone | 954-741-5006
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Fax | 954-741-8124
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Provider Business Mailing Address
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Address Line | 7800 W OAKLAND PARK BLVD STE 114F
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City | SUNRISE
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State | FL
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Zip | 33351-1122
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Country | US
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Telephone | 954-741-5006
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Fax | 954-741-8124
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Authorized Official
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Title or Position | CEO
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Name | DR. KAYLA K TOMMIE
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Credential | DMD, MS
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Telephone | 305-542-4521
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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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