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1851675193 NPI number — MICHELLE TARTAGLIA DMD

NPI Number: 1851675193
Health Care Provider/Practitioner: MICHELLE TARTAGLIA DMD

Information about “1851675193” NPI (MICHELLE TARTAGLIA DMD) exists in 1851675193 in HTML format HTML  |  1851675193 in plain Text format TXT  |  1851675193 in PDF (Portable Document Format) PDF  |  1851675193 in an XML format XML  formats.

NPI Number : 1851675193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851675193",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TARTAGLIA",
    "FirstName": "MICHELLE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KELLY",
    "OtherFirstName": "MICHELLE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2039 MEDICAL PARK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWBERRY",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29108-2249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-276-3371",
    "MailingAddressFaxNumber": "803-321-9042",
    "FirstLinePracticeLocationAddress": "2039 MEDICAL PARK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWBERRY",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29108-2249",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-276-3371",
    "PracticeLocationAddressFaxNumber": "803-321-9042",
    "EnumerationDate": "10/05/2011",
    "LastUpdateDate": "05/24/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DS038725",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "8517",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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