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General NPI Number Information
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NPI Number | 1538015367
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Entity Type | Organization
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Legal Business Name | HORSESHOE BAY DENTAL
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 9000 W FM 2147 UNIT 103
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City | HORSESHOE BAY
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State | TX
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Zip | 78657-6256
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Country | US
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Telephone | 830-598-5474
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 W FM 2147 UNIT 103
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City | HORSESHOE BAY
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State | TX
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Zip | 78657-6256
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. GRANT MARCANTEL
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Credential | DDS
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Telephone | 713-315-1621
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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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