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General NPI Number Information
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NPI Number | 1366337636
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Entity Type | Organization
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Legal Business Name | HERITAGE DENTAL
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 595 BETHLEHEM PIKE STE 302
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9710
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Country | US
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Telephone | 215-822-3860
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Fax |
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Provider Business Mailing Address
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Address Line | 595 BETHLEHEM PIKE STE 302
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City | MONTGOMERYVILLE
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State | PA
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Zip | 18936-9710
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Country | US
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Telephone | 215-822-3860
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS - CENTRAL PA
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Name | JENNIFER BIEBER
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Credential |
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Telephone | 610-412-7393
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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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