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General NPI Number Information
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NPI Number | 1184951642
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Entity Type | Organization
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Legal Business Name | TMJ & FACIAL PAIN CENTER, PA & CURTIS IMAGING CENTER
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6407 COLLEYVILLE BLVD STE. A
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City | COLLEYVILLE
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State | TX
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Zip | 76084
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Country | US
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Telephone | 817-442-1200
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Fax | 817-442-1217
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Provider Business Mailing Address
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Address Line | 6407 COLLEYVILLE BLVD #A
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City | COLLEYVILLE
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State | TX
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Zip | 76034
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Country | US
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Telephone | 817-442-1200
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Fax | 817-442-1217
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAVID WILLIAM CURTIS
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Credential | D.D.S.
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Telephone | 214-862-4544
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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 | 14174
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License Number State | TX
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