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General NPI Number Information
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NPI Number | 1922920057
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Entity Type | Organization
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Legal Business Name | VISTA OAKS DENTISTRY PLLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 1540 N US HWY 377 STE 600
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City | ROANOKE
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State | TX
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Zip | 76262
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Country | US
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Telephone | 817-369-9370
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Fax | 817-665-9174
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Provider Business Mailing Address
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Address Line | PO BOX 734753
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City | DALLAS
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State | TX
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Zip | 75373-4753
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Country | US
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Telephone | 817-369-9370
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Fax | 817-665-9174
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Authorized Official
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Title or Position | OWNER
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Name | DUSTIN MCBRIDE
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Credential | DMD
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Telephone | 817-369-9370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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