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General NPI Number Information
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NPI Number | 1295545796
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Entity Type | Organization
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Legal Business Name | WINDSOR DENTAL PARTNERS PLLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 4605 NW 23RD ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-2128
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Country | US
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Telephone | 405-978-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 2576 W MISSION SPRINGS DR
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City | EDMOND
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State | OK
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Zip | 73012-9062
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Country | US
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Telephone | 405-655-9231
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. DAVID THOMAS GRAY
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Credential | DMD
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Telephone | 405-655-9231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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