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General NPI Number Information
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NPI Number | 1134017734
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Entity Type | Organization
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Legal Business Name | PEDIATRIC SMILE SPECIALISTS PLLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 9010 SIENNA CROSSING DR 350
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City | MISSOURI CITY
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State | TX
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Zip | 77459
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Country | US
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Telephone | 281-969-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 807 DUNLEIGH MEADOWS LN
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City | HOUSTON
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State | TX
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Zip | 77055-1931
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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 | DENTIST/OWNER
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Name | ZAMEER KHAN
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Credential | DDS
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Telephone | 512-677-1307
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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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Taxonomy #2
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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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