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General NPI Number Information
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NPI Number | 1811850449
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Entity Type | Organization
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Legal Business Name | DUBOIS DENTAL, PLLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 148 COUNTRY LANE DR
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City | LUMBERTON
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State | TX
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Zip | 77657-6802
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Country | US
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Telephone | 409-755-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 148 COUNTRY LANE DR
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City | LUMBERTON
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State | TX
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Zip | 77657-6802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MARY E DUBOIS
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Credential | DDS
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Telephone | 409-755-3933
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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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