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General NPI Number Information
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NPI Number | 1134785165
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Entity Type | Individual
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Provider Name | ETHAN C WILSTON DMD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 2130 S EAGLE RD # 2132
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City | NEWTOWN
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State | PA
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Zip | 18940-1579
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Country | US
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Telephone | 215-860-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 2130 S EAGLE RD # 2132
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City | NEWTOWN
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State | PA
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Zip | 18940-1579
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Country | US
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Telephone | 570-404-5625
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS042392
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License Number State | PA
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