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General NPI Number Information
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NPI Number | 1982485371
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Entity Type | Organization
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Legal Business Name | SAMANTHA M. EISENBERG, D.D.S., P.C.
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Dates
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Enumeration Date | 10/11/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 509 STILLWELLS CORNER RD STE E7
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City | FREEHOLD
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State | NJ
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Zip | 07728-2965
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Country | US
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Telephone | 732-462-0016
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Fax |
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Provider Business Mailing Address
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Address Line | 509 STILLWELLS CORNER RD STE E7
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City | FREEHOLD
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State | NJ
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Zip | 07728-2965
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMANTHA MICHELLE EISENBERG
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Credential | D.D.S.
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Telephone | 347-391-5518
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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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