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General NPI Number Information
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NPI Number | 1225051683
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Entity Type | Organization
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Legal Business Name | CENTER FOR FACIAL &ORAL SURGERY P.A.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3740 N JOSEY LN STE 145
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City | CARROLLTON
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State | TX
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Zip | 75007-2477
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Country | US
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Telephone | 972-395-7630
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Fax | 972-395-7625
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Provider Business Mailing Address
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Address Line | 3740 N JOSEY LN STE 145
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City | CARROLLTON
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State | TX
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Zip | 75007-2477
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Country | US
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Telephone | 972-395-7630
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Fax | 972-395-7625
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. GEORGE A. NAIL
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Credential | M.D., D.D.S.
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Telephone | 972-395-7630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | TX
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