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NPI 1215285861

NPI 1215285861 : DAVID ALEXANDER MCLEOD DMD : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1215285861
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID ALEXANDER MCLEOD DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/29/2012
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    Last Update Date     |    01/28/2022
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Provider Practice Location Address
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    Address Line         |    8745 GARY BURNS DR STE 154 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75034-2542
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    Country              |    US
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    Telephone            |    214-494-4441
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    Fax                  |    214-494-4479
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Provider Business Mailing Address
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    Address Line         |    1050 HOT SPRINGS DR 
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    City                 |    ALLEN
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    State                |    TX
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    Zip                  |    75013-5636
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    Country              |    US
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    Telephone            |    910-616-5264
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    28167
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    28167
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    License Number State |    TX
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