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General NPI Number Information
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NPI Number | 1972666329
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY DENTISTRY, PLLC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2052 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14618-5703
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Country | US
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Telephone | 585-244-3337
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Fax | 575-244-0622
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Provider Business Mailing Address
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Address Line | 2052 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14618-5703
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Country | US
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Telephone | 585-244-3337
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Fax | 575-244-0622
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. HAROLD MESSER
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Credential |
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Telephone | 585-244-3337
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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 | 0492701
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 039124
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License Number State | NY
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