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General NPI Number Information
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NPI Number | 1205798691
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Entity Type | Organization
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Legal Business Name | W DENTAL LLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 168 MOUNTAIN AVE
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-2324
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Country | US
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Telephone | 908-605-0656
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Fax |
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Provider Business Mailing Address
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Address Line | 11 GATES AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-1512
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Country | US
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Telephone |
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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. MATTHEW WILLIAMS
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Credential | DMD
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Telephone | 407-484-9325
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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 |
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License Number State |
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