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General NPI Number Information
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NPI Number | 1386561355
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Entity Type | Organization
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Legal Business Name | SMITH PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1770 MARKET DR STE C
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City | DICKINSON
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State | ND
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Zip | 58601-6168
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Country | US
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Telephone | 701-360-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 5594 W 9660 N
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City | HIGHLAND
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State | UT
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Zip | 84003-4809
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Country | US
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Telephone | 801-885-2703
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | NATHAN ENGLAND SMITH
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Credential | DDS
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Telephone | 801-885-2703
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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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