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1629086582 NPI number — DAVID MARTIN DUGAN MD DDS

NPI Number: 1629086582
Health Care Provider/Practitioner: DAVID MARTIN DUGAN MD DDS

Information about “1629086582” NPI (DAVID MARTIN DUGAN MD DDS) exists in 1629086582 in HTML format HTML  |  1629086582 in plain Text format TXT  |  1629086582 in PDF (Portable Document Format) PDF  |  1629086582 in an XML format XML  formats.

NPI Number : 1629086582 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629086582",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DUGAN",
    "FirstName": "DAVID",
    "MiddleName": "MARTIN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "39 COUNTRY CLUB ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ONEONTA",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "13820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "607-432-8808",
    "MailingAddressFaxNumber": "607-432-2307",
    "FirstLinePracticeLocationAddress": "39 COUNTRY CLUB ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ONEONTA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "13820",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "607-432-8808",
    "PracticeLocationAddressFaxNumber": "607-432-2307",
    "EnumerationDate": "08/04/2006",
    "LastUpdateDate": "03/24/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "047041",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "204E00000X",
          "TaxonomyName": "Oral & Maxillofacial Surgery (D.M.D.)",
          "LicenseNumber": "219962",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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