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General NPI Number Information
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NPI Number | 1033907555
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Entity Type | Individual
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Provider Name | JULIET SMITH DDS
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Gender | Female
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 850 8TH ST
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City | EL DORADO
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State | AR
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Zip | 71730
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Country | US
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Telephone | 501-830-1235
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Fax |
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Provider Business Mailing Address
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Address Line | 1587 S FOOTHILL DR APT 32
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City | SALT LAKE CITY
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State | UT
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Zip | 84108-2758
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Country | US
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Telephone | 479-321-4583
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4843
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License Number State | AR
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