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General NPI Number Information
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NPI Number | 1972307791
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Entity Type | Organization
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Legal Business Name | JEFFREY D CONNELL DMD PLLC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 150 VILLAGE WALK DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7679
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Country | US
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Telephone | 919-446-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 105 SELECT CT
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-6508
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Country | US
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Telephone | 828-371-8307
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JEFFREY CONNELL
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Credential | DMD
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Telephone | 919-446-3103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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