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General NPI Number Information
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NPI Number | 1164542858
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Entity Type | Organization
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Legal Business Name | ALLIED DENTAL ASSOCIATES, L.L.C.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 735 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-1801
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Country | US
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Telephone | 973-778-2226
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Fax | 973-778-3399
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Provider Business Mailing Address
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Address Line | 735 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07013-1801
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Country | US
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Telephone | 973-778-2226
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Fax | 973-778-3399
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ALFRED D DENNIS
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Credential | D.M.D.
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Telephone | 973-778-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16782
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 19175
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 19965
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License Number State | NJ
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