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General NPI Number Information
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NPI Number | 1013192236
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Entity Type | Organization
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Legal Business Name | LEWISVILLE SMILES, P.L.L.C
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 501 S INTERSTATE 35 E
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City | LEWISVILLE
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State | TX
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Zip | 75067-4562
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Country | US
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Telephone | 469-635-4867
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Fax | 469-635-4871
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Provider Business Mailing Address
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Address Line | 4901 LBJ FREEWAY SUITE 400
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City | DALLAS
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State | TX
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Zip | 75244-6158
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Country | US
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Telephone | 214-342-5757
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Fax | 214-340-4868
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADRIAN CODEL
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Credential | DDS
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Telephone | 214-342-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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