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NPI 1982482162

NPI 1982482162 : PRIYA DEY DDS : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1982482162
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    Entity Type          |    Individual 
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    Provider Name        |    PRIYA DEY DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/19/2023
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    401 HOLLY HILLS AVE 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63111-2410
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    Country              |    US
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    Telephone            |    314-353-5190
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    Fax                  |    314-353-7631
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Provider Business Mailing Address
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    Address Line         |    401 HOLLY HILLS AVE 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63111-2410
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    Country              |    US
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    Telephone            |    314-353-5190
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    Fax                  |    314-353-7631
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    2024042679
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    License Number State |    MO
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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       |    016.0134228
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    License Number State |    VT
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