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General NPI Number Information
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NPI Number | 1144510983
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS SMILEMAKERS PLLC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 210 E LAMBERTH RD
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City | SHERMAN
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State | TX
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Zip | 75092
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Country | US
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Telephone | 903-893-6341
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Fax | 903-813-5583
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Provider Business Mailing Address
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Address Line | 210 E LAMBERTH RD
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City | SHERMAN
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State | TX
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Zip | 75092
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Country | US
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Telephone | 903-893-6341
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Fax | 903-813-5583
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ROBERT WILLIAMSON
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Credential | DDS
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Telephone | 903-893-6341
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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 | 23222
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 19100
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License Number State | TX
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