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General NPI Number Information
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NPI Number | 1235080094
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Entity Type | Organization
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Legal Business Name | LASER PERIODONTICS GROUP PLLC
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 274 MADISON AVE RM 1404
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City | NEW YORK
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State | NY
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Zip | 10016-0720
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Country | US
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Telephone | 646-846-9288
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Fax |
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Provider Business Mailing Address
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Address Line | 223 ROGERS DR
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City | SCARSDALE
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State | NY
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Zip | 10583-6711
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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 | PARTNER
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Name | DR. ALEXANDER LOEB
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Credential | DDS
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Telephone | 914-424-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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