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General NPI Number Information
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NPI Number | 1194691915
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Entity Type | Organization
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Legal Business Name | SERENITY SMILES DENTAL PC
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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 | 703 E FM 544 STE 100
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City | MURPHY
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State | TX
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Zip | 75094-4036
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Country | US
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Telephone | 972-442-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 703 E FM 544 STE 100
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City | MURPHY
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State | TX
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Zip | 75094-4036
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Country | US
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Telephone | 972-442-7550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON LARSEN
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Credential | DDS
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Telephone | 646-703-4279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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