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General NPI Number Information
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NPI Number | 1336900638
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Entity Type | Organization
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Legal Business Name | SMILES FAMILY DENTAL, PLLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 9006 E 62ND ST
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City | TULSA
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State | OK
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Zip | 74133-6371
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Country | US
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Telephone | 918-249-0249
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Fax |
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Provider Business Mailing Address
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Address Line | 10950 S 500 RD
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City | MIAMI
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State | OK
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Zip | 74354-6002
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Country | US
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Telephone | 918-541-5888
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMIE WILLIAMS
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Credential | DDS
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Telephone | 918-541-5888
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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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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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