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General NPI Number Information
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NPI Number | 1629972914
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Entity Type | Organization
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Legal Business Name | NICHOLAS LIAS DMD PLLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 100 E LANCASTER AVE STE 203W
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3447
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Country | US
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Telephone | 610-642-0259
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Fax |
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Provider Business Mailing Address
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Address Line | 110 BENTLEY AVE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2806
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, DENTIST
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Name | DR. NICHOLAS LIAS
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Credential | DMD
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Telephone | 267-608-4790
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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 |
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License Number State | NULL
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