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General NPI Number Information
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NPI Number | 1356350292
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Entity Type | Individual
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Provider Name | TERRY DAVID TREISTMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 23501 CINCO RANCH BLVD STE G225
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City | KATY
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State | TX
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Zip | 77494-3418
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Country | US
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Telephone | 281-599-7822
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Fax | 281-599-8153
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Provider Business Mailing Address
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Address Line | 20660 WESTHEIMER PKWY G
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City | KATY
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State | TX
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Zip | 77450-5935
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Country | US
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Telephone | 281-599-7822
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Fax | 281-599-8153
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 16611
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License Number State | TX
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