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General NPI Number Information
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NPI Number | 1295784015
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Entity Type | Organization
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Legal Business Name | FLAGSHIP ORAL, FACIAL, AND DENTAL IMPLANT SURGERY, PC
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 158 YORK RD
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City | WARMINSTER
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State | PA
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Zip | 18974-4521
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Country | US
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Telephone | 215-672-6560
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Fax | 215-672-7343
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Provider Business Mailing Address
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Address Line | 158 YORK RD
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City | WARMINSTER
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State | PA
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Zip | 18974-4521
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Country | US
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Telephone | 215-672-6560
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Fax | 215-672-7343
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. MARGIE SCHENK
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Credential |
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Telephone | 215-672-6560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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