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General NPI Number Information
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NPI Number | 1356298277
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Entity Type | Organization
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Legal Business Name | SECURE OF GEORGETOWN TX DDS PLLC
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 918-376-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 213 N BROADWAY ST
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City | CHECOTAH
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State | OK
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Zip | 74426-2431
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Country | US
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Telephone | 405-433-6665
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Fax |
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Authorized Official
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Title or Position | DDS/OWNER
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Name | ALEXANDER QUANTE
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Credential | DDS
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Telephone | 918-376-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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