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General NPI Number Information
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NPI Number | 1386151926
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Entity Type | Organization
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Legal Business Name | M&M DENTAL PARTNERS PLLC
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2443 S GALVESTON AVE
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City | PEARLAND
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State | TX
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Zip | 77581-4222
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Country | US
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Telephone | 281-485-4829
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Fax |
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Provider Business Mailing Address
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Address Line | 2443 S GALVESTON AVE
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City | PEARLAND
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State | TX
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Zip | 77581-4222
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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 | DENTIST/OWNER
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Name | DR. MICHAEL J MAHER
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Credential | DDS
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Telephone | 281-485-4829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 29570
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18724
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29693
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 17812
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28042
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License Number State | TX
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