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General NPI Number Information
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NPI Number | 1720162274
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Entity Type | Organization
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Legal Business Name | JUDITH S SAVINO DMD WILLIAM A SAVINO JR DDS PC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 394 MAIN ST
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City | CENTER MORICHES
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State | NY
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Zip | 11934-3527
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Country | US
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Telephone | 631-878-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 394 MAIN ST
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City | CENTER MORICHES
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State | NY
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Zip | 11934-3527
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Country | US
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Telephone | 631-878-1010
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. JUDITH S SAVINO
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Credential | D.M.D.
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Telephone | 631-878-1010
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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 | 043521
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License Number State | NY
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