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General NPI Number Information
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NPI Number | 1124955919
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Entity Type | Organization
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Legal Business Name | LUSH DENTAL AND IMPLANTS
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 2970 FORT WORTH HWY STE 200
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City | HUDSON OAKS
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State | TX
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Zip | 76087-4996
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Country | US
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Telephone | 682-394-0955
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Fax | 682-394-0956
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Provider Business Mailing Address
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Address Line | 2970 FORT WORTH HWY STE 200
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City | HUDSON OAKS
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State | TX
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Zip | 76087-4996
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Country | US
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Telephone | 682-394-0955
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Fax | 682-394-0956
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Authorized Official
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Title or Position | DENTIST/ OWNER
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Name | DR. SHEDRACK OKOJIE
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Credential | DDS
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Telephone | 682-394-0955
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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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