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General NPI Number Information
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NPI Number | 1467851659
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Entity Type | Organization
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Legal Business Name | ARK-LA-TEX PEDIATRIC DENTISTRY, PLLC
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 112 W US HIGHWAY 82
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City | NEW BOSTON
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State | TX
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Zip | 75570-2804
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Country | US
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Telephone | 903-832-5437
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Fax | 903-628-0270
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Provider Business Mailing Address
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Address Line | 112 W US HIGHWAY 82
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City | NEW BOSTON
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State | TX
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Zip | 75570-2804
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Country | US
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Telephone | 903-832-5437
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Fax | 903-628-0270
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN STEELE
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Credential | DDS
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Telephone | 903-832-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 25576
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License Number State | TX
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