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General NPI Number Information
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NPI Number | 1316476054
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Entity Type | Organization
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Legal Business Name | NEWTOWN SMILE DENTISTRY, PC
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 27 CHURCH HILL RD STE 1
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City | NEWTOWN
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State | CT
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Zip | 06470-1612
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Country | US
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Telephone | 203-426-3310
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Fax |
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Provider Business Mailing Address
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Address Line | 27 CHURCH HILL RD STE 1
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City | NEWTOWN
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State | CT
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Zip | 06470-1612
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Country | US
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Telephone | 203-426-3310
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEAN LEE
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Credential | DDS
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Telephone | 949-394-3378
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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 | 11812
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License Number State | CT
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