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General NPI Number Information
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NPI Number | 1598645285
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Entity Type | Organization
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Legal Business Name | LINDALE FAMILY DENTISTRY, PLLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 120 E CENTENNIAL BLVD STE 302
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City | LINDALE
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State | TX
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Zip | 75771-8818
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Country | US
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Telephone | 903-300-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 5800 N INTERSTATE 35 STE 205
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City | DENTON
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State | TX
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Zip | 76207-1438
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DMD/OWNER
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Name | CRAIG COPELAND
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Credential |
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Telephone | 940-220-7833
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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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