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General NPI Number Information
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NPI Number | 1982571048
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Entity Type | Organization
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Legal Business Name | DV DENTAL PLACE PLLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 24 LYMAN ST STE 240
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1483
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Country | US
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Telephone | 508-366-1022
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Fax |
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Provider Business Mailing Address
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Address Line | 24 LYMAN ST STE 240
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City | WESTBOROUGH
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State | MA
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Zip | 01581-1483
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Country | US
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Telephone | 508-366-1022
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | FIONA NESS
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Credential |
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Telephone | 508-244-1047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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