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General NPI Number Information
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NPI Number | 1902368012
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Entity Type | Organization
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Legal Business Name | SPIRA DENTAL
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 19 BRIAR HOLLOW LN STE 140
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City | HOUSTON
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State | TX
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Zip | 77027-2820
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Country | US
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Telephone | 832-422-8099
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Fax |
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Provider Business Mailing Address
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Address Line | 5233 BELLAIRE BLVD STE 240
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City | BELLAIRE
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State | TX
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Zip | 77401-3901
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Country | US
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Telephone | 832-422-8099
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | AARON GLICK
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Credential | DDS
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Telephone | 832-422-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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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