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NPI Code Detail

MEDICARE: DR. DOUGLAS ARTHUR DUEY DDS

MEDICARE: DR. DOUGLAS ARTHUR DUEY DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist9306CO
2122300000XDentist28760TX
31223G0001XGeneral Practice Dentistry016394MI

General Provider Information

NPI Number : 1629070784
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS ARTHUR DUEY DDS
Provider Business Mailing Address
First Line : 8700 MARBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78227-2345
Country : US
Telephone Number : 210-675-7000
Fax Number :
Provider Business Practice Location Address
First Line : 8700 MARBACH RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78227-2345
Country : US
Telephone Number : 210-675-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 06/10/2013

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