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General NPI Number Information
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NPI Number | 1841523958
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Entity Type | Organization
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Legal Business Name | TEXAS DENTISTRY FOR KIDS MESQUITE, PLLC
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 315 N. GALLOWAY AVE. STE# A
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City | MESQUITE
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State | TX
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Zip | 75149
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Country | US
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Telephone | 972-329-4200
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Fax | 972-329-4203
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Provider Business Mailing Address
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Address Line | 101 S. COIT RD STE# 36-315
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City | RICHARDSON
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State | TX
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Zip | 75080
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Country | US
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Telephone | 972-932-3918
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Fax | 972-438-2540
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ERIK KERN HARRINGTON
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Credential | DDS
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Telephone | 972-932-3918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 21751
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License Number State | TX
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