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General NPI Number Information
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NPI Number | 1386195600
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Entity Type | Organization
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Legal Business Name | BRACES WORLD LLC
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 56 ATLANTIC AVE
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City | FREEPORT
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State | NY
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Zip | 11520
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Country | US
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Telephone | 516-600-9145
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Fax |
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Provider Business Mailing Address
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Address Line | 56 ATLANTIC AVENUE
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City | FREEPORT
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State | NY
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Zip | 11520
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Country | US
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Telephone | 516-600-9145
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HECTOR PENA
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Credential | DMD
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Telephone | 516-600-9145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 053544
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 050779
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 050779
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 050912
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License Number State | NY
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