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General NPI Number Information
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NPI Number | 1679395784
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Entity Type | Organization
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Legal Business Name | ACE DENTAL CARE, P.C.
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 362 W OLD COUNTRY RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-4113
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Country | US
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Telephone | 516-292-7376
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | ROSLYN
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State | NY
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Zip | 11576-0007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JANET WILLIAMS
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Credential | DDS, MPH
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Telephone | 516-292-7376
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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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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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