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General NPI Number Information
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NPI Number | 1467667857
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Entity Type | Organization
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Legal Business Name | K. MIKE DOSSETT, D.D.S., INC.
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4275 LEGACY DR SUITE 500
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City | FRISCO
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State | TX
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Zip | 75034-2212
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Country | US
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Telephone | 214-239-0955
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Fax | 214-239-0958
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Provider Business Mailing Address
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Address Line | 4275 LEGACY DR SUITE 500
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City | FRISCO
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State | TX
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Zip | 75034-2212
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Country | US
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Telephone | 214-239-0955
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Fax | 214-239-0958
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH MIKE DOSSETT
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Credential | D.D.S.
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Telephone | 972-960-0082
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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 | 9584
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License Number State | TX
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