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General NPI Number Information
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NPI Number | 1699691808
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Entity Type | Organization
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Legal Business Name | ERIC OH DDS MS LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | FAIRFIELD COMMONS, 271 ROUTE 46 WEST, BUILDING G SUITE 109
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City | FAIRFIELD
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State | NJ
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Zip | 07004
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Country | US
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Telephone | 973-808-4373
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Fax |
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Provider Business Mailing Address
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Address Line | 213A 5TH ST
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City | PALISADES PARK
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State | NJ
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Zip | 07650-2150
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Country | US
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Telephone | 609-439-3299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC EUNTAEK OH
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Credential | DDS
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Telephone | 609-439-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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