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General NPI Number Information
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NPI Number | 1811617079
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Entity Type | Organization
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Legal Business Name | MILESTONES PEDIATRIC DENTISTRY, PLLC
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3370 LONG PRAIRIE RD STE 400
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City | FLOWER MOUND
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State | TX
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Zip | 75022-3000
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Country | US
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Telephone | 352-250-9559
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Fax | 469-830-8074
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Provider Business Mailing Address
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Address Line | 3370 LONG PRAIRIE RD STE 400
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City | FLOWER MOUND
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State | TX
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Zip | 75022-3000
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Country | US
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Telephone | 352-250-9559
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Fax | 469-830-8074
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Authorized Official
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Title or Position | DMD/OWNER
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Name | DR. ROSHAN VIJAY PATEL
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Credential | DMD
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Telephone | 352-250-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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