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General NPI Number Information
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NPI Number | 1104722917
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Entity Type | Organization
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Legal Business Name | HEALTHY SMILES FAMILY DENTISTRY PLLC
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Dates
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Enumeration Date | 10/19/2026
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Last Update Date | 10/19/2026
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Provider Practice Location Address
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Address Line | 3106 WALNUT ST
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City | HARRISBURG
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State | PA
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Zip | 17109-3557
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Country | US
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Telephone | 717-545-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 211 PAULINE DR # 108
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City | YORK
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State | PA
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Zip | 17402-4637
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SHAMAINE PECSON
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Credential | DDS
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Telephone | 808-354-6831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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