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General NPI Number Information
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NPI Number | 1396533352
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Entity Type | Organization
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Legal Business Name | BEN SMITH ORTHODONTICS PC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1698 CENTRE ST
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City | WEST ROXBURY
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State | MA
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Zip | 02132-1240
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Country | US
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Telephone | 617-327-9656
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Fax |
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Provider Business Mailing Address
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Address Line | 226 BONAD RD
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3642
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Country | US
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Telephone | 413-896-1182
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Fax | 413-896-1182
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN DANIEL SMITH
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Credential | DMD, SCM, MMSC
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Telephone | 413-896-1182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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