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1669377644 NPI number — NOVO FAMILY DENTAL

NPI Number: 1669377644
Health Care Provider/Practitioner: NOVO FAMILY DENTAL

Information about “1669377644” NPI (NOVO FAMILY DENTAL) exists in 1669377644 in HTML format HTML  |  1669377644 in plain Text format TXT  |  1669377644 in PDF (Portable Document Format) PDF  |  1669377644 in an XML format XML  formats.

NPI Number : 1669377644 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669377644",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NOVO FAMILY DENTAL",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5250 PEMBROKE WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN RAMON",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94582-5926",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "425-628-7927",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2420 SAN RAMON VALLEY BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN RAMON",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94583-1602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "425-628-7927",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2026",
    "LastUpdateDate": "10/10/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARORA",
    "AuthorizedOfficialFirstName": "NAINA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DENTIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "425-628-7927",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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