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General NPI Number Information
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NPI Number | 1154209781
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Entity Type | Organization
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Legal Business Name | MORRIS ORAL SURGERY & IMPLANT CENTER LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 201 LITTLETON RD STE 110
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-2939
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Country | US
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Telephone | 973-400-5254
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Fax | 973-400-5139
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Provider Business Mailing Address
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Address Line | 11 PINE ST APT 260
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City | MONTCLAIR
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State | NJ
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Zip | 07042-4376
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Country | US
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Telephone | 914-275-5298
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUKE ZAMBETTI
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Credential | DDS
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Telephone | 973-400-5254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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