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General NPI Number Information
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NPI Number | 1477365500
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Entity Type | Organization
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Legal Business Name | PREMIERE DENTAL
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1021 OLD YORK RD STE 201
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City | ABINGTON
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State | PA
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Zip | 19001-4626
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Country | US
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Telephone | 215-839-3867
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 LANGHORNE NEWTOWN RD FL 4
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City | LANGHORNE
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State | PA
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Zip | 19047-1085
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Country | US
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Telephone | 267-787-0999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADITI V. PATEL
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Credential | DMD
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Telephone | 267-787-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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