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General NPI Number Information
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NPI Number | 1083569156
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Entity Type | Organization
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Legal Business Name | CHILDREN'S ORAL CARE OFFICES
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 521 STONECREST PKWY
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City | SMYRNA
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State | TN
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Zip | 37167-6885
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Country | US
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Telephone | 615-470-5557
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Fax | 615-470-5769
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Provider Business Mailing Address
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Address Line | 1009 ASHCROFT WAY
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City | MOUNT JULIET
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State | TN
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Zip | 37122-4240
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Country | US
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Telephone | 615-426-0258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GERMAN ESAU CASTILLO
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Credential | DDS
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Telephone | 615-426-0258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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