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General NPI Number Information
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NPI Number | 1285256636
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Entity Type | Organization
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Legal Business Name | BEAR DENTAL CORP
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 210 N. COIT RD.
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 469-598-2327
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Fax |
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Provider Business Mailing Address
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Address Line | 704 CLEAR WATER DR
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City | LEWISVILLE
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State | TX
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Zip | 75056-4157
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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 | CEO
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Name | DR. DENNIS BEAR
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Credential | DMD
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Telephone | 407-538-3299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | NULL
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