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General NPI Number Information
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NPI Number | 1386061083
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Entity Type | Organization
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Legal Business Name | DENTAL IMPLANT SOLUTIONS OF NEW YORK
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 639 HEMPSTEAD TPKE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-4334
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Country | US
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Telephone | 516-565-5656
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Fax | 516-565-3391
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Provider Business Mailing Address
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Address Line | 639 HEMPSTEAD TPKE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-4334
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Country | US
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Telephone | 516-565-5656
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Fax | 516-565-3391
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Authorized Official
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Title or Position | OWNER
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Name | ERIC D WEINSTEIN
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Credential | DDS
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Telephone | 516-565-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 52772
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 39888
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 43935
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License Number State | NY
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