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1992820021 NPI number — BETH DEANGELIS DMD

NPI Number: 1992820021
Health Care Provider/Practitioner: BETH DEANGELIS DMD

Information about “1992820021” NPI (BETH DEANGELIS DMD) exists in 1992820021 in HTML format HTML  |  1992820021 in plain Text format TXT  |  1992820021 in PDF (Portable Document Format) PDF  |  1992820021 in an XML format XML  formats.

NPI Number : 1992820021 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992820021",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEANGELIS",
    "FirstName": "BETH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DEANGELIS RUDA",
    "OtherFirstName": "BETH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DMD",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7 CHERRY HILL RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HOLMDEL",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07733",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-335-5511",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "180 HIGHWAY 35",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-741-7736",
    "PracticeLocationAddressFaxNumber": "732-741-1586",
    "EnumerationDate": "03/20/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "DI017654",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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