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General NPI Number Information
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NPI Number | 1689463119
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Entity Type | Organization
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Legal Business Name | GRANGER PINES DENTAL PLLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 16980 FM 3083 RD STE 120
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City | CONROE
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State | TX
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Zip | 77302-5101
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Country | US
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Telephone | 281-630-7421
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Fax |
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Provider Business Mailing Address
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Address Line | 17160 BECKER RD UNIT A
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City | HOCKLEY
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State | TX
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Zip | 77447-1710
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Country | US
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Telephone | 346-800-7110
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Fax |
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Authorized Official
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Title or Position | DENTIST-OWNER
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Name | DR. CHRISTOPHER BRETT BESSEY
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Credential | DDS
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Telephone | 281-630-7431
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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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