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General NPI Number Information
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NPI Number | 1538046768
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Entity Type | Organization
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Legal Business Name | KELLER FAMILY DENTISTRY, SLEEP & FACIAL PAIN PLLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 841 N TARRANT PKWY STE 112
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City | KELLER
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State | TX
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Zip | 76248-6823
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Country | US
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Telephone | 682-417-8186
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Fax | 817-393-3213
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Provider Business Mailing Address
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Address Line | 841 N TARRANT PKWY STE 112
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City | KELLER
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State | TX
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Zip | 76248-6823
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Country | US
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Telephone | 682-417-8186
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Fax | 817-393-3213
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Authorized Official
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Title or Position | DENTIST
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Name | DR. OMAR ALSWAITI
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Credential | DDS
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Telephone | 682-417-8186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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