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NPI Code Detail

MEDICARE: DENTISTRY WITH A SMILE, LLC

MEDICARE: DENTISTRY WITH A SMILE, LLC
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
1122300000XDentist20210MA

General Provider Information

NPI Number : 1043490717
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTISTRY WITH A SMILE, LLC
Provider Business Mailing Address
First Line : 920 PLYMOUTH AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02721-1944
Country : US
Telephone Number : 508-672-6471
Fax Number :
Provider Business Practice Location Address
First Line : 920 PLYMOUTH AVE
Second Line :
City : FALL RIVER
State : MA
Zip : 02721-1944
Country : US
Telephone Number : 508-672-6471
Fax Number :
Authorized Official
Title or Position : OWNER/DENTIST
Name : DR. SUHAIR ADEL SHAMOON
Credential : D.M.D.
Telephone Number : 508-672-6471
Provider Enumeration Date : 11/09/2007
Last Update Date : 11/09/2007

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Directions to “DENTISTRY WITH A SMILE, LLC ” Practice Location

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