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General NPI Number Information
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NPI Number | 1003229311
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Entity Type | Individual
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Provider Name | SHEALA LANSDEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 211 OLD HEWITT RD
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City | WACO
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State | TX
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Zip | 76712-6560
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Country | US
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Telephone | 254-399-9000
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Fax | 254-399-9001
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Provider Business Mailing Address
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Address Line | 106 BEVERLY DR
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City | PALESTINE
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State | TX
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Zip | 75801-5320
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Country | US
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Telephone | 903-724-1524
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 29964
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 29964
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License Number State | TX
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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 | 29964
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License Number State | TX
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