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General NPI Number Information
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NPI Number | 1518168343
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Entity Type | Individual
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Provider Name | PRIYU GUPTA D.D.S
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 354 OLD HOOK RD STE 201
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City | WESTWOOD
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State | NJ
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Zip | 07675-3248
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Country | US
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Telephone | 917-520-4176
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Fax | 201-664-0912
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Provider Business Mailing Address
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Address Line | 289 ORANGEBURGH RD
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City | OLD TAPPAN
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State | NJ
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Zip | 07675-7484
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Country | US
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Telephone | 917-520-4176
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Fax | 201-664-0912
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 22DI02253800
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License Number State | NJ
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