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General NPI Number Information
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NPI Number | 1134865314
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Entity Type | Organization
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Legal Business Name | SARAH B. SCHROETTER, DDS, P.C.
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 16 GOODFRIEND DR STE 6
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City | EAST HAMPTON
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State | NY
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Zip | 11937-2584
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Country | US
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Telephone | 631-825-5220
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Fax | 631-825-5221
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Provider Business Mailing Address
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Address Line | 16 GOODFRIEND DR STE 6
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City | EAST HAMPTON
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State | NY
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Zip | 11937-2584
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Country | US
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Telephone | 631-825-5220
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Fax | 631-825-5221
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARAH SCHROETTER
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Credential | DDS
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Telephone | 631-825-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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