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General NPI Number Information
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NPI Number | 1942585179
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Entity Type | Organization
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Legal Business Name | MORCHAT & SILVERTOOTH DENTAL PLLC
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 5140 FM 1252 W
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City | KILGORE
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State | TX
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Zip | 75662-1961
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Country | US
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Telephone | 903-983-1919
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Fax | 903-984-1683
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Provider Business Mailing Address
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Address Line | 5140 FM 1252 W
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City | KILGORE
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State | TX
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Zip | 75662
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Country | US
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Telephone | 903-983-1919
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Fax | 903-984-1683
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ARTHUR CHARLES MORCHAT
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Credential | DDS
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Telephone | 903-983-1919
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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 | 11284
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License Number State | TX
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