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General NPI Number Information
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NPI Number | 1215845961
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Entity Type | Organization
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Legal Business Name | RITTENHOUSE ORTHODONTICS,P.C.
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 3300 HENRY AVE STE 115
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1141
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Country | US
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Telephone | 215-772-0775
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Fax | 215-987-6823
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Provider Business Mailing Address
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Address Line | 1518 WALNUT ST STE 500
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City | PHILADELPHIA
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State | PA
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Zip | 19102-3403
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Country | US
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Telephone | 215-772-0775
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Fax | 215-987-6823
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORDYN MIDDLEBERG
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Credential | D.M.D/ M.S.
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Telephone | 215-772-0775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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