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General NPI Number Information
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NPI Number | 1578612024
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Entity Type | Organization
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Legal Business Name | DRS. DYER & KOLATH, P.A.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 820 E CARTWRIGHT RD STE 140
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City | MESQUITE
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State | TX
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Zip | 75149-6063
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Country | US
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Telephone | 972-329-2442
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Fax | 972-329-2452
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Provider Business Mailing Address
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Address Line | 820 E CARTWRIGHT RD STE 140
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City | MESQUITE
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State | TX
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Zip | 75149-6063
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Country | US
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Telephone | 972-329-2442
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Fax | 972-329-2452
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Authorized Official
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Title or Position | PARTNER
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Name | DR. CLYDE GREGORY DYER
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Credential | D.D.S.,F.A.G.D
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Telephone | 972-329-2442
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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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