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General NPI Number Information
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NPI Number | 1992858054
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Entity Type | Organization
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Legal Business Name | ACCESS DENTAL CARE, P.C.,INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1234 MINERAL SPRING AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-4105
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Country | US
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Telephone | 401-722-5800
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Fax | 401-722-6718
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Provider Business Mailing Address
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Address Line | 1234 MINERAL SPRING AVE
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-4105
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Country | US
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Telephone | 401-722-5800
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Fax | 401-722-6718
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MELANIE GENTRY
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Credential |
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Telephone | 401-722-5800
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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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