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General NPI Number Information
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NPI Number | 1518248590
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Entity Type | Organization
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Legal Business Name | DR BS CHILDRENS DENTISTRY PLLC
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3839 PARKER RD STE 104
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City | WYLIE
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State | TX
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Zip | 75098-7818
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Country | US
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Telephone | 469-946-9905
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Fax | 469-890-2134
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Provider Business Mailing Address
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Address Line | 3296 COUNTY ROAD 2134
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City | CADDO MILLS
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State | TX
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Zip | 75135-6703
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Country | US
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Telephone | 702-496-6777
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | TODD JAMES BAGGALEY
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Credential | DMD
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Telephone | 702-496-6777
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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 | S6-107
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License Number State | NV
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