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General NPI Number Information
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NPI Number | 1750185674
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Entity Type | Organization
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Legal Business Name | AAKASH GUPTA DMD PLLC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 3065 E LOOP 1604 N SUITE 105
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City | CONVERSE
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State | TX
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Zip | 78109
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Country | US
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Telephone | 210-949-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 3065 EAST LOOP 1604 NORTH SUITE 105
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City | CONVERSE
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State | TX
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Zip | 78109
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Country | US
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Telephone | 210-949-2222
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | AAKASH GUPTA
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Credential | DMD
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Telephone | 248-342-7185
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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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