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General NPI Number Information
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NPI Number | 1811056112
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Entity Type | Organization
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Legal Business Name | CARE PLUS DENTAL ASSOCIATES
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E SUITE 170
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City | BRYAN
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State | TX
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Zip | 77802
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Country | US
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Telephone | 979-774-1255
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Fax | 979-776-8855
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Provider Business Mailing Address
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Address Line | 3201 UNIVERSITY DR E SUITE 170
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City | BRYAN
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State | TX
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Zip | 77802
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Country | US
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Telephone | 979-774-1255
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Fax | 979-776-8855
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM NEAL KRUGER JR.
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Credential | DDS
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Telephone | 979-774-1255
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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 | 14532
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21962
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 13644
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License Number State | TX
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