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General NPI Number Information
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NPI Number | 1790253615
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Entity Type | Organization
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Legal Business Name | SUMMIT DENTAL PARTNERS
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Dates
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Enumeration Date | 11/08/2018
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Last Update Date | 11/08/2018
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Provider Practice Location Address
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Address Line | 779 SPRINGFIELD AVE
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City | SUMMIT
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State | NJ
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Zip | 07901-2332
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Country | US
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Telephone | 908-499-8707
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Fax |
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Provider Business Mailing Address
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Address Line | 43 OVERLOOK RD
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City | LIVINGSTON
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State | NJ
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Zip | 07039-1508
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Country | US
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Telephone | 973-216-1992
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Fax |
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Authorized Official
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Title or Position | DR
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Name | DR. JILL ROBIN SCHWARTZ-SACKS
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Credential | DMD
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Telephone | 908-499-8707
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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 |
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License Number State |
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