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General NPI Number Information
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NPI Number | 1598870263
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Entity Type | Organization
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Legal Business Name | UNIVERSITY DENTAL, PC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4307 214TH PL
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City | BAYSIDE
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State | NY
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Zip | 11361-2928
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Country | US
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Telephone | 718-225-0515
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Fax |
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Provider Business Mailing Address
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Address Line | 4307 214TH PL
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City | BAYSIDE
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State | NY
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Zip | 11361-2928
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Country | US
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Telephone | 718-225-0515
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BARRY J SILVERMAN
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Credential | DMD
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Telephone | 718-225-0515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 036006
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 043797
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License Number State | MA
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