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General NPI Number Information
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NPI Number | 1477431237
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Entity Type | Organization
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Legal Business Name | DA&JP DENISTRY PLLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1044 NORTHERN BLVD
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City | ROSLYN
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State | NY
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Zip | 11576-1514
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Country | US
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Telephone | 516-466-1177
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Fax |
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Provider Business Mailing Address
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Address Line | 10858 66TH AVE
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City | FOREST HILLS
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State | NY
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Zip | 11375-2242
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JACOB JONATHAN PLESHTY
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Credential | DDS
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Telephone | 347-865-4456
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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 |
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License Number State |
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