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General NPI Number Information
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NPI Number | 1700896644
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Entity Type | Organization
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Legal Business Name | ROBERT S. WEBBER DDS,PA
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 765 QUEEN ANNE RD
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City | TEANECK
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State | NJ
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Zip | 07666-3331
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Country | US
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Telephone | 201-836-4400
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Fax | 201-801-0768
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Provider Business Mailing Address
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Address Line | 765 QUEEN ANNE RD
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City | TEANECK
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State | NJ
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Zip | 07666-3331
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Country | US
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Telephone | 201-836-4400
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Fax | 201-801-0768
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT STEPHEN WEBBER
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Credential | D.D.S.
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Telephone | 201-836-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 22DI00924400
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License Number State | NJ
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