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General NPI Number Information
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NPI Number | 1275405383
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Entity Type | Organization
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Legal Business Name | SNH DENTAL GROUP PLLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1441 S MIDLOTHIAN PKWY STE 150
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-6156
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Country | US
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Telephone | 707-862-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 2904 NEIDMAN DR
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City | MANSFIELD
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State | TX
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Zip | 76063-7366
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | NITISH TEWARI
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Credential | DMD
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Telephone | 707-862-9270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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