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General NPI Number Information
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NPI Number | 1417811076
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Entity Type | Organization
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Legal Business Name | NE HOUSTON DENTAL PLLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 3301 TIDWELL RD STE D
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City | HOUSTON
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State | TX
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Zip | 77093-6830
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Country | US
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Telephone | 713-643-3684
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE STE 38532
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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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 | MANAGER
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Name | JASPAL SINGH
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Credential |
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Telephone | 307-303-3323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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