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NPI 1932061603

NPI 1932061603 : HUNTINGDON DENTAL CARE, LLC : HUNTINGDON, PA

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General NPI Number Information
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    NPI Number           |    1932061603
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUNTINGDON DENTAL CARE, LLC 
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Dates
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    Enumeration Date     |    12/01/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    826 WASHINGTON ST 
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    City                 |    HUNTINGDON
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    State                |    PA
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    Zip                  |    16652-1726
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    Country              |    US
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    Telephone            |    814-643-4746
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    826 WASHINGTON ST 
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    City                 |    HUNTINGDON
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    State                |    PA
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    Zip                  |    16652-1726
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    Country              |    US
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    Telephone            |    814-643-4746
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MARY  WONG 
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    Credential           |    
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    Telephone            |    814-643-4746
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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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