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General NPI Number Information
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NPI Number | 1083243570
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Entity Type | Organization
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Legal Business Name | WINDHAVEN PEDIATRIC DENTISTRY PLLC
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 27045 E UNIVERSITY DR STE 2A
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City | AUBREY
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State | TX
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Zip | 76227-2746
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Country | US
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Telephone | 469-277-1787
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Fax | 469-277-6611
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Provider Business Mailing Address
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Address Line | 27045 E UNIVERSITY DR STE 2A
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City | AUBREY
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State | TX
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Zip | 76227-2746
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Country | US
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Telephone | 469-473-6707
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KARRIE LEE
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Credential | DMD
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Telephone | 469-473-6707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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