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General NPI Number Information
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NPI Number | 1134648017
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Entity Type | Organization
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Legal Business Name | JOHN B. CART, DDS, PLLC
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 172 SUMMER ST
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City | BUFFALO
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State | NY
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Zip | 14222-2206
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Country | US
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Telephone | 716-884-5909
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Fax | 716-882-8445
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Provider Business Mailing Address
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Address Line | 172 SUMMER ST
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City | BUFFALO
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State | NY
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Zip | 14222-2206
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Country | US
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Telephone | 716-884-5909
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Fax | 716-882-8445
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. JOHN BRISTOW CART
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Credential | DDS
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Telephone | 716-884-5909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 33608
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License Number State | NY
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