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General NPI Number Information
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NPI Number | 1659464345
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Entity Type | Organization
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Legal Business Name | NEWTOWN ORTHODONTICS
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12 PENNS TRL SUITE-TOOTH
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City | NEWTOWN
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State | PA
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Zip | 18940-1892
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Country | US
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Telephone | 215-504-5437
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Fax | 215-504-5844
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Provider Business Mailing Address
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Address Line | 12 PENNS TRL SUITE-TOOTH
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City | NEWTOWN
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State | PA
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Zip | 18940-1892
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Country | US
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Telephone | 215-504-5437
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Fax | 215-504-5844
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINE M LANDES
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Credential | DMD
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Telephone | 215-504-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS020688
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DS-035953
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License Number State | PA
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