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General NPI Number Information
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NPI Number | 1386014538
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Entity Type | Organization
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Legal Business Name | MJS DENTAL, INC
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Dates
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Enumeration Date | 09/30/2015
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 142 W. WINCHESTER ST.
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City | MURRAY
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State | UT
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Zip | 84107
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Country | US
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Telephone | 801-266-4427
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Fax | 801-266-9034
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Provider Business Mailing Address
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Address Line | PO BOX 40760
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City | MESA
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State | AZ
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Zip | 85274
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Country | US
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Telephone | 480-706-9430
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Fax | 480-461-1785
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | MORGAN J. SMITH
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Credential | DMD
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Telephone | 801-266-4427
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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 | 6643737
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License Number State | UT
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