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General NPI Number Information
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NPI Number | 1487528709
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Entity Type | Organization
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Legal Business Name | JUNIPER DENTAL PLLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1336 LEAGUE LINE RD STE 400
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City | CONROE
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State | TX
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Zip | 77304-3457
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Country | US
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Telephone | 936-856-9969
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Fax |
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Provider Business Mailing Address
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Address Line | 3849 JUNIPER MEADOWS LN
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City | SPRING
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State | TX
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Zip | 77386-4430
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Country | US
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Telephone | 210-790-2553
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADVISOR
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Name | MARIBETH STENGER BROWN
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Credential |
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Telephone | 972-469-9339
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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 |
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License Number State |
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