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General NPI Number Information
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NPI Number | 1801378849
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Entity Type | Organization
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Legal Business Name | NORTHEAST HOUSTON DENTAL SPECIALISTS PLLC
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 23762 US 59
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City | PORTER
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State | TX
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Zip | 77365
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Country | US
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Telephone | 281-306-5194
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Fax | 832-532-1904
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Provider Business Mailing Address
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Address Line | 507 N SAM HOUSTON PKWY E STE 565
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City | HOUSTON
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State | TX
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Zip | 77060-4021
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Country | US
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Telephone | 832-648-7632
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Fax | 832-532-1904
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. AMJAD SHEIKH
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Credential | DDS
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Telephone | 832-648-7632
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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 | 21047
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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 | 21047
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License Number State | TX
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