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General NPI Number Information
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NPI Number | 1104783984
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Entity Type | Organization
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Legal Business Name | YARDLEY PROSTHODONTICS PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 307 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5525
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Country | US
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Telephone | 215-860-0585
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Fax | 215-860-2214
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Provider Business Mailing Address
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Address Line | 307 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5525
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Country | US
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Telephone | 215-860-0585
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Fax | 215-860-2214
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Authorized Official
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Title or Position | MAXILLOFACIAL PROSTHODONTIST
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Name | DR. HARRISON ISAAC SPATZ
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Credential | DMD, MS, FACP, FAAMP
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Telephone | 516-457-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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