MEDICARE: DR. DAKOTA CY ARGYLE 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
1	122300000X	Dentist	37279	TX

General Provider Information

NPI Number	:	1790453835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAKOTA CY ARGYLE DDS

Provider Business Mailing Address
First Line	:	116 E BLISS DR
Second Line	:
City	:	SARATOGA SPRINGS
State	:	UT
Zip	:	84045-4527
Country	:	US
Telephone Number	:	916-224-3744
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 S OLD BETSY RD
Second Line	:
City	:	KEENE
State	:	TX
Zip	:	76059-2425
Country	:	US
Telephone Number	:	817-641-2272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2021
Last Update Date	:	09/02/2021

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