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1710804752 NPI number — BASEL N M ALKRUNZ DDS

NPI Number: 1710804752
Health Care Provider/Practitioner: BASEL N M ALKRUNZ DDS

Information about “1710804752” NPI (BASEL N M ALKRUNZ DDS) exists in 1710804752 in HTML format HTML  |  1710804752 in plain Text format TXT  |  1710804752 in PDF (Portable Document Format) PDF  |  1710804752 in an XML format XML  formats.

NPI Number : 1710804752 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710804752",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALKRUNZ",
    "FirstName": "BASEL",
    "MiddleName": "N M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2014 HERTEL AVE UNIT UPPER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUFFALO",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14214-1030",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "315-455-0642",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2114 SPRING VALLEY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LANCASTER",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17601-2427",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-481-7645",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/01/2026",
    "LastUpdateDate": "07/01/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "DS045956",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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