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General NPI Number Information
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NPI Number | 1730305640
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Entity Type | Organization
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Legal Business Name | WASHINGTON TWP DENTAL ASSOC, P.A.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 474 HURFFVILLE CROSSKEYS RD ATRIUM ONE SUITE A
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City | SEWELL
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State | NJ
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Zip | 08080-2321
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Country | US
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Telephone | 856-582-1000
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Fax | 856-589-1093
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Provider Business Mailing Address
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Address Line | 474 HURFFVILLE CROSSKEYS RD ATRIUM ONE SUITE A
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City | SEWELL
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State | NJ
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Zip | 08080-2321
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Country | US
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Telephone | 856-582-1000
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Fax | 856-589-1093
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. STEFANIE A TILTON
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Credential |
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Telephone | 856-582-1000
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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 | DI23083
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI19807
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI11620
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI08926
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI07861
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DI02215
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DI01216200
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI14249
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License Number State | NJ
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