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General NPI Number Information
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NPI Number | 1538259452
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Entity Type | Organization
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Legal Business Name | BEN A BRATCHER DDS AND GLEN A. STERN DDS PC, LLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 240 E TX-243
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City | CANTON
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State | TX
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Zip | 75103-2315
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Country | US
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Telephone | 903-567-4881
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Fax | 903-567-5149
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Provider Business Mailing Address
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Address Line | 240 E TX-243
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City | CANTON
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State | TX
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Zip | 75103-2315
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Country | US
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Telephone | 903-567-4881
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Fax | 903-567-5149
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Authorized Official
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Title or Position | QUALITY ASSURANCE SPECIALIST-CREDEN
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Name | ALEXIS BERNAL
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Credential |
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Telephone | 972-869-3789
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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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