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General NPI Number Information
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NPI Number | 1063497154
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Entity Type | Organization
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Legal Business Name | BELLE MEAD ORTHODONTIC CARE PA
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Dates
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Enumeration Date | 12/12/2005
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2230 ROUTE 206
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4020
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Country | US
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Telephone | 908-874-8360
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Fax | 908-874-5985
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Provider Business Mailing Address
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Address Line | 2230 ROUTE 206
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City | BELLE MEAD
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State | NJ
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Zip | 08502-4020
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Country | US
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Telephone | 908-874-8360
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Fax | 908-874-5985
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. RICHARD D'AVANZO
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Credential | DDS
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Telephone | 609-709-0107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 10683NJ
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License Number State | NJ
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