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General NPI Number Information
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NPI Number | 1245038454
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Entity Type | Organization
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Legal Business Name | ISMILE, PC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 91 N SAGINAW ST
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City | PONTIAC
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State | MI
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Zip | 48342-2165
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Country | US
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Telephone | 248-332-4240
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Fax |
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Provider Business Mailing Address
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Address Line | 91 N SAGINAW ST STE 110
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City | PONTIAC
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State | MI
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Zip | 48342-2165
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Country | US
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Telephone | 248-332-4240
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Fax | 248-332-6712
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Authorized Official
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Title or Position | OWNER, DENTIST
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Name | DR. JAMES CHANG
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Credential | DDS
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Telephone | 734-707-9266
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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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