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General NPI Number Information
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NPI Number | 1174404537
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Entity Type | Organization
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Legal Business Name | GOOD NIGHT DDS PLLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2040 N LOOP 336 W STE 230
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City | CONROE
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State | TX
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Zip | 77304-3579
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Country | US
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Telephone | 832-770-4509
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Fax | 281-292-2125
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Provider Business Mailing Address
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Address Line | 14911 POLLUX DR
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City | WILLIS
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State | TX
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Zip | 77318-5080
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Country | US
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Telephone | 281-989-4320
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Fax | 281-292-2125
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KELLY M LEBLANC
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Credential | DDS
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Telephone | 281-989-4320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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