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General NPI Number Information
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NPI Number | 1386776441
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Entity Type | Organization
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Legal Business Name | A R PERIODONTICS, PC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 315 E NORTHFIELD RD SUITE 2D
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4896
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Country | US
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Telephone | 973-625-1491
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Fax | 973-625-1319
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Provider Business Mailing Address
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Address Line | 315 E NORTHFIELD RD SUITE 2E
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4896
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Country | US
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Telephone | 973-625-1491
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Fax | 973-625-1319
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN ROTHSTEIN
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Credential | DDS
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Telephone | 973-625-1491
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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 | DI019452
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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