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General NPI Number Information
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NPI Number | 1891683009
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Entity Type | Organization
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Legal Business Name | PI DENTAL, PLLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 162 E 78TH ST GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10075-0406
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Country | US
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Telephone | 646-917-2588
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Fax |
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Provider Business Mailing Address
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Address Line | 162 E 78TH ST GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10075-0406
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Country | US
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Telephone | 646-914-2588
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Fax | 646-914-2524
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Authorized Official
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Title or Position | OWNER
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Name | SEUNGHYUN JAE
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Credential | DMD
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Telephone | 917-848-5535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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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 | 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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