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General NPI Number Information
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NPI Number | 1891210894
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Entity Type | Organization
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Legal Business Name | JOSEPH F. DESANTIS,D.M.D. AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1290 BALTIMORE PIKE STE 10
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City | CHADDS FORD
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State | PA
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Zip | 19317-7361
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Country | US
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Telephone | 610-358-5002
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Fax | 610-358-5023
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Provider Business Mailing Address
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Address Line | 1290 BALTIMORE PIKE STE 10
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City | CHADDS FORD
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State | PA
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Zip | 19317-7361
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Country | US
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Telephone | 610-358-5002
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Fax | 610-358-5023
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARIANN SMITH
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Credential |
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Telephone | 610-358-5002
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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 | DS023512L
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License Number State | PA
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