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General NPI Number Information
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NPI Number | 1356204333
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Entity Type | Organization
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Legal Business Name | BRIDGE ORTHODONTICS PLLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 500 YORK RD STE 112
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City | JENKINTOWN
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State | PA
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Zip | 19046-2871
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Country | US
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Telephone | 215-886-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 500 YORK RD STE 112
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City | JENKINTOWN
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State | PA
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Zip | 19046-2871
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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/ORTHODONTIST
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Name | ALEXANDER APPLE
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Credential | DMD, MSD
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Telephone | 215-886-4818
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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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