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General NPI Number Information
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NPI Number | 1487659991
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Entity Type | Organization
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Legal Business Name | ORAL & MAXILLOFACIAL SURGEONS P.C.
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 101 PROGRESS DR
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2563
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Country | US
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Telephone | 215-345-7373
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Fax | 215-345-0242
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Provider Business Mailing Address
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Address Line | 101 PROGRESS DR
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City | DOYLESTOWN
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State | PA
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Zip | 18901-2563
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Country | US
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Telephone | 215-345-7373
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Fax | 215-345-0242
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MICHAEL J LAND
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Credential | D.M.D.
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Telephone | 215-345-7373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | PA
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