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General NPI Number Information
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NPI Number | 1346814233
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Entity Type | Organization
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Legal Business Name | BUCKS COUNTY DENTAL SLEEP MEDICINE & TMJ THERAPY, PC
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 135 NORTH MAIN STREET SUITE: SLEEP
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City | NEW HOPE
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State | PA
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Zip | 18938
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Country | US
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Telephone | 215-862-3300
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Fax | 215-862-5230
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Provider Business Mailing Address
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Address Line | 135 N MAIN ST STE SLEEP
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City | NEW HOPE
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State | PA
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Zip | 18938-1316
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Country | US
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Telephone | 215-862-3300
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Fax | 215-862-5230
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DAWN MICHELE RICKERT
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Credential | DMD
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Telephone | 215-862-3300
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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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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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