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General NPI Number Information
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NPI Number | 1255087995
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Entity Type | Organization
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Legal Business Name | BEST SMILES DENTIST PLLC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 9195 STAPLES MILL RD
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City | HENRICO
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State | VA
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Zip | 23228-2027
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Country | US
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Telephone | 804-823-5500
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Fax | 804-980-7499
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Provider Business Mailing Address
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Address Line | 9195 STAPLES MILL RD
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City | HENRICO
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State | VA
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Zip | 23228-2027
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Country | US
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Telephone | 804-823-5500
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Fax | 804-980-7499
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Authorized Official
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Title or Position | DENTIST
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Name | MR. NAVEEN CHENNNUPATI
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Credential | DDS
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Telephone | 804-823-5500
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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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