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General NPI Number Information
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NPI Number | 1619680154
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Entity Type | Organization
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Legal Business Name | DENTAL ACCESS SERVICES PLLC
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 120 WOODFIELD RD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2525
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Country | US
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Telephone | 516-489-3679
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Fax | 516-505-0611
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Provider Business Mailing Address
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Address Line | 120 WOODFIELD RD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2525
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Country | US
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Telephone | 516-489-3679
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Fax | 516-505-0611
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Authorized Official
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Title or Position | MANAGER
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Name | DR. REGINALD BORGELLA
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Credential |
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Telephone | 212-206-1765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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