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General NPI Number Information
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NPI Number | 1376647842
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Entity Type | Organization
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Legal Business Name | BELLEVILLE DENTAL CENTER, P.C.
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVE SUITE 108
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-751-6600
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Fax | 973-751-6364
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Provider Business Mailing Address
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Address Line | 5 FRANKLIN AVE SUITE 108
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-751-6600
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Fax | 973-751-6364
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ELIZABETH M. LLAMERA
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Credential | DDS
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Telephone | 973-751-6600
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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 | DI019013
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DI019576
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License Number State | NJ
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