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General NPI Number Information
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NPI Number | 1457376477
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Entity Type | Organization
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Legal Business Name | SILVERDALE DENTISTRY
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 1000 E WALNUT ST SUITE 301
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City | PERKASIE
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State | PA
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Zip | 18944-5444
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Country | US
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Telephone | 215-453-5212
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Fax | 215-453-9212
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Provider Business Mailing Address
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Address Line | 1000 E WALNUT ST SUITE 301
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City | PERKASIE
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State | PA
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Zip | 18944-5444
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Country | US
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Telephone | 215-453-5212
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Fax | 215-453-9212
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Authorized Official
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Title or Position | DENTIST/PRESIDENT
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Name | DR. ADAM ROSS KRATCHMAN
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Credential | D.M.D.
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Telephone | 215-453-5212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS031486L
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License Number State | PA
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