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General NPI Number Information
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NPI Number | 1093502429
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES & IMPLANTS - TEXAS III, PLLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 3081 HWY 31 E
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City | TYLER
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State | TX
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Zip | 75702-8620
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Country | US
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Telephone | 903-533-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 3081 HWY 31 E
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City | TYLER
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State | TX
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Zip | 75702-8620
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Country | US
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Telephone | 903-533-9797
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DENTIST
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Name | GEORGE TANKSLEY
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Credential | DMD
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Telephone | 903-533-9797
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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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