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General NPI Number Information
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NPI Number | 1982574125
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Entity Type | Organization
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Legal Business Name | FORT BEND PERIODONTICS
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4645 SWEETWATER BLVD STE 800
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City | SUGAR LAND
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State | TX
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Zip | 77479-3129
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Country | US
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Telephone | 281-980-2344
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Fax | 281-980-3583
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Provider Business Mailing Address
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Address Line | 4645 SWEETWATER BLVD STE 800
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City | SUGAR LAND
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State | TX
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Zip | 77479-3129
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Country | US
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Telephone | 281-980-2344
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Fax | 281-980-3583
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Authorized Official
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Title or Position | PERIODONTIST
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Name | BRET L. DYER
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Credential | D.D.S., M.S.
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Telephone | 281-980-2344
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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 |
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License Number State |
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