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NPI 1235568312

NPI 1235568312 : JAMES L TRITTON DDS PC : CARROLLTON, TX

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General NPI Number Information
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    NPI Number           |    1235568312
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES L TRITTON DDS PC 
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Dates
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    Enumeration Date     |    11/08/2013
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    Last Update Date     |    11/08/2013
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Provider Practice Location Address
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    Address Line         |    3008 E HEBRON PKWY # 100 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75010-4469
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    Country              |    US
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    Telephone            |    972-662-7874
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    Fax                  |    972-662-5000
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Provider Business Mailing Address
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    Address Line         |    3008 E HEBRON PKWY # 100 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75010-4469
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    Country              |    US
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    Telephone            |    972-662-7874
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    Fax                  |    972-662-5000
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. JAMES L TRITTON 
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    Credential           |    DDS
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    Telephone            |    972-662-7874
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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       |    13699
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    License Number State |    TX
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