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General NPI Number Information
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NPI Number | 1114062767
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Entity Type | Organization
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Legal Business Name | JOSEPH R. NEMETH, DDS, PC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 29829 TELEGRAPH RD STE 111
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City | SOUTHFIELD
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State | MI
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Zip | 48034-7655
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Country | US
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Telephone | 248-357-3100
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Fax | 248-357-1626
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Provider Business Mailing Address
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Address Line | 29829 TELEGRAPH RD STE 111
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City | SOUTHFIELD
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State | MI
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Zip | 48034-7655
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Country | US
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Telephone | 248-357-3100
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Fax | 248-357-1626
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH RAY NEMETH
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Credential | D.D.S.
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Telephone | 248-357-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 2901008274
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License Number State | MI
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