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General NPI Number Information
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NPI Number | 1215744776
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Entity Type | Organization
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Legal Business Name | STRONG SMILES PEDIATRIC DENTISTRY JULIE RUDGERS CROFT DDS LLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 13477 PROSPECT RD STE 102
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City | STRONGSVILLE
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State | OH
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Zip | 44149-3867
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Country | US
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Telephone | 440-572-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 2881 HASTINGS RD
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City | SILVER LAKE
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State | OH
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Zip | 44224-3755
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Country | US
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Telephone | 330-861-9192
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIE M RUDGERS CROFT
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Credential | DDS
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Telephone | 330-861-8182
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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 |
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License Number State |
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