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General NPI Number Information
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NPI Number | 1487599866
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Entity Type | Organization
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Legal Business Name | WILDFLOWER ENDODONTICS, LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 11510 OLD GEORGETOWN RD STE E
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City | ROCKVILLE
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State | MD
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Zip | 20852-2786
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Country | US
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Telephone | 301-493-4496
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Fax |
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Provider Business Mailing Address
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Address Line | 10617 CAMILLIA BLOSSOM LN
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City | AUSTIN
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State | TX
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Zip | 78748-3009
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Country | US
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Telephone | 281-795-8983
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KORTNIE STROTHER
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Credential | DDS, MS, MSD
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Telephone | 281-795-8983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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