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NPI 1386647378

NPI 1386647378 : JAMES C LYLES, DDS, INC. : SPRING, TX

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General NPI Number Information
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    NPI Number           |    1386647378
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    Entity Type          |    Organization 
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    Legal Business Name  |    JAMES C LYLES, DDS, INC. 
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Dates
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    Enumeration Date     |    05/23/2005
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    8111 CYPRESSWOOD DR STE 108
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-7180
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    Country              |    US
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    Telephone            |    281-655-8500
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    Fax                  |    281-257-2944
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Provider Business Mailing Address
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    Address Line         |    8111 CYPRESSWOOD DR STE 108
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-7180
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    Country              |    US
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    Telephone            |    281-655-8500
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    Fax                  |    281-257-2944
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JAMES C LYLES JR.
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    Credential           |    D.D.S.
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    Telephone            |    281-655-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    7508
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    License Number State |    TX
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