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General NPI Number Information
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NPI Number | 1063526408
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Entity Type | Organization
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Legal Business Name | DENTAL GROUP OF MORRISTOWN
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 89 WASHINGTON ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6816
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Country | US
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Telephone | 973-993-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 89 WASHINGTON ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6816
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Country | US
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Telephone | 973-993-8303
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Fax |
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Authorized Official
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Title or Position | SENIOR MANAGING PARTNER
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Name | STEVEN H RICHTER
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Credential | DMD
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Telephone | 973-993-8303
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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 | NJ
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