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General NPI Number Information
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NPI Number | 1891585642
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Entity Type | Organization
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Legal Business Name | SUPERIOR DENTAL CARE PLLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1900 LONG PRAIRIE RD STE 132
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4295
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Country | US
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Telephone | 972-874-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 4358 SUPERIOR LN
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City | IRVING
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State | TX
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Zip | 75063-1277
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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 | DENTIST
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Name | DR. DHAVAL PATEL
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Credential | DMD
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Telephone | 630-402-1551
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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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