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General NPI Number Information
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NPI Number | 1194695262
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Entity Type | Organization
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Legal Business Name | AMERIDENT PLLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 333 E 34TH ST OFC 1M
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City | NEW YORK
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State | NY
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Zip | 10016-5230
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Country | US
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Telephone | 646-490-4017
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 34TH ST OFC 1M
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City | NEW YORK
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State | NY
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Zip | 10016-5230
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Country | US
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Telephone | 646-490-4017
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Fax |
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Authorized Official
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Title or Position | OWNER, DENTIST
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Name | DR. ROBERT PHILLIP CUKIER
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Credential | DDS
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Telephone | 718-207-9604
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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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