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General NPI Number Information
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NPI Number | 1396381398
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Entity Type | Organization
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Legal Business Name | SIXTH DENTAL PARTNER PLLC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 6700 STONEBROOK PKWY STE 101
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City | FRISCO
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State | TX
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Zip | 75034-9639
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Country | US
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Telephone | 972-360-0806
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Fax | 972-360-0806
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Provider Business Mailing Address
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Address Line | 2831 W 15TH ST STE 100
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City | PLANO
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State | TX
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Zip | 75075-7527
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Country | US
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Telephone | 469-208-9800
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Fax | 469-208-9800
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Authorized Official
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Title or Position | OPERATION DIRECTOR
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Name | CYNTHIA HUYNH
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Credential |
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Telephone | 469-208-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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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 |
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License Number State |
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