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General NPI Number Information
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NPI Number | 1134422744
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Entity Type | Organization
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Legal Business Name | TROXLER & SMITH D.D.S PA
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 3914 9TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-1704
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Country | US
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Telephone | 941-747-5597
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Fax | 941-749-0962
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Provider Business Mailing Address
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Address Line | 3914 9TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-1704
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Country | US
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Telephone | 941-747-5597
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Fax | 941-749-0962
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY R SMITH
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Credential | DMD
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Telephone | 941-747-5597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | DN0005357
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | DN0008653
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License Number State | FL
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