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General NPI Number Information
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NPI Number | 1942338546
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Entity Type | Organization
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Legal Business Name | DENTAL CARE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1313 BRIARCREST DR STE D
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City | BRYAN
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State | TX
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Zip | 77802-5232
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Country | US
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Telephone | 979-776-4364
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Fax | 979-776-4360
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Provider Business Mailing Address
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Address Line | 1313 BRIARCREST DR STE D
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City | BRYAN
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State | TX
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Zip | 77802-5232
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Country | US
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Telephone | 979-776-4364
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Fax | 979-776-4360
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Authorized Official
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Title or Position | DENTAL ASSISTANT ADMINSTRATIVE OFF
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Name | MS. AUTUMN BELLE DENSMAN
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Credential | DENTAL ASSISTANT
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Telephone | 979-776-4364
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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 | 16734
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9539
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4696
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 16730
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License Number State | TX
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