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General NPI Number Information
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NPI Number | 1649196015
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Entity Type | Organization
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Legal Business Name | SWEET TOOTH PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 237 MILLBURN AVE STE B
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City | MILLBURN
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State | NJ
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Zip | 07041-1741
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Country | US
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Telephone | 973-863-3303
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Fax | 973-863-3934
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Provider Business Mailing Address
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Address Line | 237 MILLBURN AVE STE B
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City | MILLBURN
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State | NJ
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Zip | 07041-1741
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Country | US
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Telephone | 973-860-3303
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Fax | 973-863-3934
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. DEVINA SHAH
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Credential | DMD
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Telephone | 973-860-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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