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General NPI Number Information
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NPI Number | 1255249520
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Entity Type | Organization
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Legal Business Name | SMILE STUDIO OF REHOBOTH LLC
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 19411 PLANTATIONS RD BLDG 4
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4497
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Country | US
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Telephone | 302-715-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 19411 PLANTATIONS RD BLDG 4
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4497
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | JENNY ORGANISTA
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Credential |
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Telephone | 302-392-2449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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