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General NPI Number Information
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NPI Number | 1164331666
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Entity Type | Organization
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Legal Business Name | CHAD SMART DDS AND VINCENT O KOKICH JR DMD MSD PLLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 3519 56TH ST STE 120
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City | GIG HARBOR
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State | WA
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Zip | 98335-8593
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Country | US
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Telephone | 253-851-6789
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Fax | 253-851-9558
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Provider Business Mailing Address
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Address Line | 3519 56TH ST STE 120
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City | GIG HARBOR
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State | WA
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Zip | 98335-8593
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Country | US
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Telephone | 253-851-6789
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Fax | 253-851-9558
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Authorized Official
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Title or Position | FINANCE/HR MANAGER
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Name | ROSEANNE ANTHONY
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Credential |
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Telephone | 253-752-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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