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General NPI Number Information
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NPI Number | 1972466803
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Entity Type | Organization
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Legal Business Name | THE DENTAL GROUP LLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1155 MAIN ST STE 105
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City | JUPITER
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State | FL
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Zip | 33458-5264
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Country | US
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Telephone | 561-420-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 MAIN ST STE 105
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City | JUPITER
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State | FL
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Zip | 33458-5264
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Country | US
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Telephone | 561-420-8888
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Fax |
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Authorized Official
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Title or Position | PAYOR STRATEGY MANAGER
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Name | CHRIS WILLIAMS
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Credential |
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Telephone | 832-969-3381
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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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