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General NPI Number Information
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NPI Number | 1851163695
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Entity Type | Organization
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Legal Business Name | AM DENTAL SERVICES P.C.
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 7009 AUSTIN ST STE 201
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City | FOREST HILLS
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State | NY
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Zip | 11375-1012
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Country | US
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Telephone | 718-261-2790
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Fax | 718-261-2795
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Provider Business Mailing Address
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Address Line | 7009 AUSTIN ST
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City | FOREST HILLS
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State | NY
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Zip | 11375-4799
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Country | US
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Telephone | 718-261-2790
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Fax | 718-261-2795
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. BRUCE A HUBERMAN
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Credential | DMD
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Telephone | 718-261-2790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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