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General NPI Number Information
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NPI Number | 1245116045
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Entity Type | Organization
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Legal Business Name | DALHART DENTAL CLINIC, PC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 219 E TEXAS BLVD
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City | DALHART
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State | TX
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Zip | 79022-4321
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Country | US
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Telephone | 806-249-5538
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 CIVIC CIR STE 600
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City | AMARILLO
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State | TX
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Zip | 79109-1817
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Country | US
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Telephone | 806-381-3435
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Fax | 806-353-7077
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM EDWARD GRAVES
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Credential | DMD
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Telephone | 806-353-1055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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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 |
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License Number State |
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