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1407419799 NPI number — SLEEP BETTER DENTAL MEDICINE OF THE MAIN LINE

NPI Number: 1407419799
Health Care Provider/Practitioner: SLEEP BETTER DENTAL MEDICINE OF THE MAIN LINE

Information about “1407419799” NPI (SLEEP BETTER DENTAL MEDICINE OF THE MAIN LINE) exists in 1407419799 in HTML format HTML  |  1407419799 in plain Text format TXT  |  1407419799 in PDF (Portable Document Format) PDF  |  1407419799 in an XML format XML  formats.

NPI Number : 1407419799 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407419799",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "AMY SHOUMER DMD, PC",
    "ParentOrgTIN": null,
    "OrgName": "SLEEP BETTER DENTAL MEDICINE OF THE MAIN LINE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "919 CONESTOGA RD",
    "SecondLineMailingAddress": "BUILDING ONE SUITE 100",
    "MailingAddressCityName": "BRYN MAWR",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19010",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-234-3881",
    "MailingAddressFaxNumber": "610-525-3628",
    "FirstLinePracticeLocationAddress": "919 CONESTOGA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRYN MAWR",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19010-1352",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-234-3881",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/22/2019",
    "LastUpdateDate": "10/13/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHOUMER",
    "AuthorizedOfficialFirstName": "AMY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "610-234-3881",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QD0000X",
          "TaxonomyName": "Dental Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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