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General NPI Number Information
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NPI Number | 1174316004
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Entity Type | Organization
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Legal Business Name | RICHMOND SUMMIT DENTAL PLLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 5605 RICHMOND AVE
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City | DALLAS
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State | TX
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Zip | 75206-7113
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Country | US
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Telephone | 267-210-5327
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Fax |
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Provider Business Mailing Address
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Address Line | 4106 NEWTON AVE APT 116
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City | DALLAS
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State | TX
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Zip | 75219-3074
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Country | US
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Telephone | 267-210-5327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARTEM NUREYEV
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Credential | DMD
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Telephone | 267-210-5327
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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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