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NPI 1194518159

NPI 1194518159 : ROYSE CITY DENTAL PC : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1194518159
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROYSE CITY DENTAL PC 
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Dates
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    Enumeration Date     |    05/23/2025
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    Last Update Date     |    05/23/2025
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Provider Practice Location Address
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    Address Line         |    5961 DALLAS PKWY STE 600 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-8519
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    Country              |    US
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    Telephone            |    972-416-2330
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    Fax                  |    469-368-2650
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Provider Business Mailing Address
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    Address Line         |    5961 DALLAS PKWY STE 600 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-8519
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    Country              |    US
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    Telephone            |    972-416-2330
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    Fax                  |    469-368-2650
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |     MICHAEL A PINCUS 
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    Credential           |    DDS
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    Telephone            |    469-964-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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