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General NPI Number Information
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NPI Number | 1518015262
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Entity Type | Organization
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Legal Business Name | DINGUS AND RIVOLI ORTHODONTICS
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 HIGH ST
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City | NEWARK
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State | NY
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Zip | 14513-1456
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Country | US
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Telephone | 315-331-3726
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Fax |
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Provider Business Mailing Address
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Address Line | 110 HIGH ST
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City | NEWARK
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State | NY
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Zip | 14513-1456
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Country | US
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Telephone | 315-331-3726
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. WILLIAM EDWARD DINGUS
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Credential | DMD
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Telephone | 585-278-1055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 042074
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License Number State | NY
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