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General NPI Number Information
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NPI Number | 1184422511
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Entity Type | Organization
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Legal Business Name | BUTLER FAMILY DENTAL SPECIALISTS LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 9 CAREY AVE # 100
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City | BUTLER
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State | NJ
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Zip | 07405-1225
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Country | US
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Telephone | 973-838-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 130 POLLARD RD
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1652
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Country | US
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Telephone | 609-977-2426
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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. JULIET SIEGEL
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Credential | DDS
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Telephone | 609-977-2426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #4
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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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