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General NPI Number Information
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NPI Number | 1053871574
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Entity Type | Organization
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Legal Business Name | ADVANCED DENTAL CONCEPTS, LLC
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 03/21/2019
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Provider Practice Location Address
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Address Line | 4350 INDEPENDENCE DR STE D
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City | SCHNECKSVILLE
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State | PA
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Zip | 18078-2589
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Country | US
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Telephone | 610-769-5400
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Fax | 610-769-5499
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Provider Business Mailing Address
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Address Line | 4350 INDEPENDENCE DR STE D
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City | SCHNECKSVILLE
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State | PA
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Zip | 18078-2589
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Country | US
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Telephone | 610-769-5400
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Fax | 610-769-5499
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MICHELE L ALGIERI
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Credential | DDS
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Telephone | 610-769-5400
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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 |
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License Number State |
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