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General NPI Number Information
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NPI Number | 1598685919
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Entity Type | Organization
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Legal Business Name | IBRAHIM HASSAN PC DBA FRONTIER DENTISTRY
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 129 E 1ST ST
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City | SPRINGTOWN
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State | TX
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Zip | 76082-2402
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Country | US
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Telephone | 817-523-4648
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Fax |
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Provider Business Mailing Address
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Address Line | 129 E 1ST ST
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City | SPRINGTOWN
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State | TX
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Zip | 76082-2402
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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 | OWNER/DENTIST
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Name | HASSAN ASGHAR
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Credential | DDS, MS
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Telephone | 631-792-2662
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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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