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General NPI Number Information
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NPI Number | 1326179185
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Entity Type | Organization
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Legal Business Name | HEALTHY SMILES
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 PRINCE AVE SUITE 202 EAST
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City | ATHENS
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State | GA
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Zip | 30606-5805
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Country | US
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Telephone | 706-548-7373
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Fax | 706-548-8088
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Provider Business Mailing Address
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Address Line | 1010 PRINCE AVE SUITE 202 EAST
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City | ATHENS
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State | GA
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Zip | 30606-5805
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Country | US
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Telephone | 706-548-7373
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Fax | 706-548-8088
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. ERIK HUNT WELLS
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Credential | D.M.D.
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Telephone | 706-548-7373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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