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General NPI Number Information
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NPI Number | 1255517926
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Entity Type | Organization
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Legal Business Name | SMITHA M REDDY, DDS, INC
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Dates
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Enumeration Date | 01/12/2008
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Last Update Date | 01/12/2008
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Provider Practice Location Address
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Address Line | 6255 CHAMBERSBURG RD
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City | DAYTON
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State | OH
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Zip | 45424-3873
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Country | US
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Telephone | 937-233-9655
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Fax |
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Provider Business Mailing Address
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Address Line | 6255 CHAMBERSBURG RD
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City | DAYTON
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State | OH
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Zip | 45424-3873
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Country | US
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Telephone | 937-233-9655
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. SMITHA M REDDY
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Credential | DDS
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Telephone | 937-233-9655
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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 | 30-022578
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License Number State | OH
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