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General NPI Number Information
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NPI Number | 1568601011
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Entity Type | Organization
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Legal Business Name | H DENTAL LLC
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 02/06/2009
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Provider Practice Location Address
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Address Line | 2828 ROUTH ST STE 310
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City | DALLAS
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State | TX
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Zip | 75201-1439
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Country | US
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Telephone | 214-969-1000
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Fax | 214-969-1001
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Provider Business Mailing Address
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Address Line | 2828 ROUTH ST STE 310
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City | DALLAS
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State | TX
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Zip | 75201-1439
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Country | US
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Telephone | 214-969-1000
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Fax | 214-969-1001
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AMY AKERS HEFTON
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Credential | DDS
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Telephone | 214-969-1000
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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 | 23907
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License Number State | TX
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Taxonomy #2
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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 | TX
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