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General NPI Number Information
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NPI Number | 1982428348
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Entity Type | Organization
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Legal Business Name | BHAKTA IMPLANT CENTER OF HOUSTON PLLC
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 707 S FRY RD STE 150
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City | KATY
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State | TX
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Zip | 77450-2257
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Country | US
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Telephone | 512-825-9921
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Fax |
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Provider Business Mailing Address
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Address Line | 105 AZIMUTH DR
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City | AUSTIN
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State | TX
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Zip | 78717-4953
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Country | US
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Telephone | 512-825-9921
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BHAVESH B. BHAKTA
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Credential | DDS
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Telephone | 512-825-9921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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