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General NPI Number Information
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NPI Number | 1659551513
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Entity Type | Organization
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Legal Business Name | IAN B. GLICK DMD & ALLISON G. RITCH DDS PC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 23 STILES RD STE 106
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City | SALEM
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State | NH
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Zip | 03079-2853
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Country | US
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Telephone | 603-893-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 23 STILES RD STE 106
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City | SALEM
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State | NH
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Zip | 03079-2853
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Country | US
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Telephone | 603-893-3522
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALLISON RITCH
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Credential |
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Telephone | 978-687-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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