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General NPI Number Information
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NPI Number | 1164355608
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Entity Type | Organization
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Legal Business Name | TMJ & SLEEP CENTER OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 969 EISENHOWER BLVD STE C
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3326
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Country | US
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Telephone | 814-410-6015
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Fax |
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Provider Business Mailing Address
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Address Line | 969 EISENHOWER BLVD STE C
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3326
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Country | US
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Telephone | 814-410-6015
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. VICTOR FOLTZ III
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Credential | DMD
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Telephone | 814-410-6015
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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