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General NPI Number Information
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NPI Number | 1598270811
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Entity Type | Organization
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Legal Business Name | OCEANUS DENTAL, PLLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 16903 W LAKE HOUSTON PKWY
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City | ATASCOCITA
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State | TX
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Zip | 77346
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Country | US
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Telephone | 713-697-6453
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Fax |
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Provider Business Mailing Address
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Address Line | 6818 ATASCOCITA RD
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City | HUMBLE
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State | TX
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Zip | 77346-2817
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Country | US
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Telephone | 281-446-4700
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Fax | 281-446-5398
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. DAVID KING UMANSKY
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Credential | DDS
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Telephone | 281-446-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 33511
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License Number State | TX
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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 | 20839
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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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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