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General NPI Number Information
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NPI Number | 1306664149
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Entity Type | Organization
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Legal Business Name | SMILECROSS DENTAL OF MIDDLETOWN, PLLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 555 NY-211 SUITE 2
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City | MIDDLETOWN
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State | NY
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Zip | 10941
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Country | US
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Telephone | 845-801-0177
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Fax | 845-801-0178
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Provider Business Mailing Address
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Address Line | 530 SANDIDGE WAY
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City | ALBANY
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State | NY
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Zip | 12203-3636
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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. ROSANNE MORGAN
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Credential | DDS
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Telephone | 845-283-4295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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