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General NPI Number Information
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NPI Number | 1649896416
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Entity Type | Organization
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Legal Business Name | ADAM M NUSBLATT, DMD PC
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 60 E 9TH ST APT 206
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City | NEW YORK
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State | NY
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Zip | 10003-6403
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Country | US
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Telephone | 212-473-2164
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E 9TH ST APT 206
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City | NEW YORK
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State | NY
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Zip | 10003-6403
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Country | US
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Telephone | 212-473-2164
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Fax | 212-473-2165
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM NUSBLATT
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Credential | DMD
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Telephone | 212-473-2164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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