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General NPI Number Information
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NPI Number | 1306712914
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Entity Type | Organization
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Legal Business Name | TLN FAMILY & COSMETIC DENTISTRY AT CYPRESS PLLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 12904 FRY RD STE 500
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City | CYPRESS
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State | TX
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Zip | 77433-6904
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Country | US
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Telephone | 713-723-2600
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Fax | 832-377-4791
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Provider Business Mailing Address
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Address Line | 10259 S POST OAK RD
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City | HOUSTON
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State | TX
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Zip | 77096-4306
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Country | US
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Telephone | 713-723-2600
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Fax | 832-377-4791
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Authorized Official
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Title or Position | OWNER/CEO
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Name | TAMMEKA NICKLEBERRY
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Credential | DDS
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Telephone | 832-654-2143
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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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