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General NPI Number Information
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NPI Number | 1487544946
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Entity Type | Individual
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Provider Name | MANIDERPAL SINGH DDS
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Gender | Male
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2947 S BUCKNER BLVD STE 100
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City | DALLAS
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State | TX
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Zip | 75227-6953
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Country | US
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Telephone | 214-381-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 153 MOUNTAIN VALLEY DR
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City | MAUMELLE
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State | AR
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Zip | 72113-6995
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Country | US
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Telephone | 501-549-9450
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 41831
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License Number State | TX
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