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General NPI Number Information
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NPI Number | 1376631671
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Entity Type | Organization
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Legal Business Name | PAMELA S SMITHIE DMD PA
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1064 HWY 98-51N
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City | MCCOMB
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State | MS
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Zip | 39648
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Country | US
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Telephone | 601-684-5150
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Fax | 601-684-5190
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | SUMMIT
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State | MS
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Zip | 39666
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Country | US
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Telephone | 601-684-5150
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Fax | 601-684-5190
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. PAMELA S SMITHIE
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Credential | DMD
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Telephone | 601-684-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3015-97
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License Number State | MS
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