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1033641675 NPI number — SMILE STRONG DENTAL, PLLC

NPI Number: 1033641675
Health Care Provider/Practitioner: SMILE STRONG DENTAL, PLLC

Information about “1033641675” NPI (SMILE STRONG DENTAL, PLLC) exists in 1033641675 in HTML format HTML  |  1033641675 in plain Text format TXT  |  1033641675 in PDF (Portable Document Format) PDF  |  1033641675 in an XML format XML  formats.

NPI Number : 1033641675 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033641675",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SMILE STRONG DENTAL, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9532 VALLEY RANCH PKWY E",
    "SecondLineMailingAddress": "#1098",
    "MailingAddressCityName": "IRVING",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75063-4903",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-319-6805",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1921 W 15TH ST",
    "SecondLinePracticeLocationAddress": "SUITE 100",
    "PracticeLocationAddressCityName": "PLANO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75075-7337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-827-8779",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/02/2017",
    "LastUpdateDate": "04/02/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BANERJEE",
    "AuthorizedOfficialFirstName": "SOUMYA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGING MENBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "808-319-6804",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "29844",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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