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General NPI Number Information
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NPI Number | 1093639148
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Entity Type | Organization
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Legal Business Name | SMILES ON ST. CROIX
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 731 MAPLE DR
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City | SAINT CROIX FALLS
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State | WI
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Zip | 54024-9128
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Country | US
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Telephone | 651-675-9037
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Fax | 651-675-9037
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Provider Business Mailing Address
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Address Line | 2800 E ENTERPRISE AVE STE 333
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City | APPLETON
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State | WI
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Zip | 54913-7889
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Country | US
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Telephone | 651-675-9037
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST; OWNER
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Name | DR. MEGHAN RECH
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Credential | DMD
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Telephone | 651-675-9037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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