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General NPI Number Information
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NPI Number | 1265341796
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Entity Type | Organization
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Legal Business Name | MAYFIELD SMILES
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 6593 WILSON MILLS RD
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City | MAYFIELD VILLAGE
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State | OH
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Zip | 44143-3404
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Country | US
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Telephone | 440-461-1230
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Fax | 440-461-5458
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Provider Business Mailing Address
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Address Line | 6593 WILSON MILLS RD
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City | MAYFIELD VILLAGE
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State | OH
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Zip | 44143-3404
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Country | US
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Telephone | 440-461-1230
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Fax | 440-461-5458
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SANDRA KOTRIS
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Credential |
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Telephone | 216-475-0505
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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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