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General NPI Number Information
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NPI Number | 1144017740
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Entity Type | Organization
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Legal Business Name | DALLAS ORAL SURGERY AND IMPLANTS
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 7557 RAMBLER RD STE 918
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City | DALLAS
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State | TX
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Zip | 75231-2306
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Country | US
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Telephone | 806-683-6674
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Fax |
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Provider Business Mailing Address
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Address Line | 5431 RICHMOND AVE
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City | DALLAS
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State | TX
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Zip | 75206-7149
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Country | US
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Telephone | 806-683-6674
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Fax |
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Authorized Official
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Title or Position | DENTIST/ORAL SURGEON
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Name | DR. MACEY CARTRITE
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Credential | DDS, MD
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Telephone | 806-683-6674
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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 |
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License Number State |
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