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General NPI Number Information
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NPI Number | 1952318693
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Entity Type | Organization
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Legal Business Name | THE ART OF DENTISTRY, L.L.C.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 32 WORLDS FAIR DR STE 501
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City | SOMERSET
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State | NJ
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Zip | 08873-1396
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Country | US
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Telephone | 732-846-7100
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Fax | 732-560-0842
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Provider Business Mailing Address
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Address Line | 32 WORLDS FAIR DR STE 501
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City | SOMERSET
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State | NJ
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Zip | 08873-1396
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Country | US
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Telephone | 732-846-7100
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Fax | 732-560-0842
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. DEVON BERRY
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Credential | DMD
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Telephone | 732-846-7100
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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 | DI011462
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DI021551
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License Number State | NJ
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Taxonomy #3
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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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