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NPI 1972203156

NPI 1972203156 : STEVEN J PIERSON DDS LLC : WEST MILTON, OH

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General NPI Number Information
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    NPI Number           |    1972203156
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEVEN J PIERSON DDS LLC 
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Dates
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    Enumeration Date     |    03/07/2023
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    801 S MIAMI ST 
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    City                 |    WEST MILTON
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    State                |    OH
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    Zip                  |    45383-1305
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    Country              |    US
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    Telephone            |    937-719-3236
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    Fax                  |    937-719-3236
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Provider Business Mailing Address
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    Address Line         |    801 S MIAMI ST 
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    City                 |    WEST MILTON
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    State                |    OH
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    Zip                  |    45383-1305
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    Country              |    US
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    Telephone            |    937-719-3236
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    Fax                  |    937-719-3236
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |     STEVEN J. PIERSON 
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    Credential           |    DDS
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    Telephone            |    937-719-3236
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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       |    
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    License Number State |    
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