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General NPI Number Information
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NPI Number | 1386570794
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Entity Type | Organization
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Legal Business Name | 97 SMILES OF NORTON SHORES
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 955 W NORTON AVE
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City | NORTON SHORES
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State | MI
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Zip | 49441-4181
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Country | US
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Telephone | 231-203-9707
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Fax |
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Provider Business Mailing Address
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Address Line | 955 W NORTON AVE
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City | NORTON SHORES
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State | MI
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Zip | 49441-4181
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Country | US
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Telephone | 231-203-9707
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Fax |
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Authorized Official
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Title or Position | BILLING & CREDENTIALING MANAGER
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Name | SUSAN DUNFORD
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Credential |
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Telephone | 313-342-1997
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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 |
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License Number State |
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