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General NPI Number Information
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NPI Number | 1427966829
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Entity Type | Organization
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Legal Business Name | TONGUE TIE AND AIRWAY CENTER OF NJ LLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1135 BROAD ST STE 207
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City | CLIFTON
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State | NJ
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Zip | 07013-3346
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Country | US
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Telephone | 973-338-1383
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 BROAD ST STE 207
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City | CLIFTON
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State | NJ
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Zip | 07013-3346
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Country | US
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Telephone | 973-338-1383
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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. HASSAM SULTAN
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Credential | DMD,MS,FAAPD
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Telephone | 860-235-2063
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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 |
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License Number State |
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