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General NPI Number Information
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NPI Number | 1760414809
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Entity Type | Organization
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Legal Business Name | DENTAL CARE ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1415 EISENHOWER BLVD
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3217
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Country | US
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Telephone | 814-269-3627
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Fax | 814-266-7042
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Provider Business Mailing Address
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Address Line | 1415 EISENHOWER BLVD
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3217
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Country | US
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Telephone | 814-269-3627
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Fax | 814-266-7042
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Authorized Official
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Title or Position | STOCK HOLDER
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Name | DR. HARRY AVES
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Credential | DDS
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Telephone | 717-652-4551
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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