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General NPI Number Information
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NPI Number | 1154298917
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Entity Type | Organization
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Legal Business Name | SMILE MAS DENTAL STEPHANIE PLLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 60 S STEPHANIE ST STE 100
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City | HENDERSON
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State | NV
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Zip | 89012-5559
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Country | US
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Telephone | 702-558-5788
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Fax |
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Provider Business Mailing Address
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Address Line | 60 S STEPHANIE ST STE 100
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City | HENDERSON
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State | NV
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Zip | 89012-5559
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Country | US
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Telephone | 702-558-5788
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. BEN ABRAHAMS
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Credential | DMD
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Telephone | 860-713-3036
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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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