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General NPI Number Information
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NPI Number | 1396612677
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Entity Type | Organization
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Legal Business Name | SMILE 23 OF VIRGINIA PC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2841 HARTLAND RD STE 301
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City | FALLS CHURCH
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State | VA
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Zip | 22043-3500
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Country | US
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Telephone | 703-821-1103
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Fax | 703-821-8752
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Provider Business Mailing Address
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Address Line | 2841 HARTLAND RD STE 301
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City | FALLS CHURCH
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State | VA
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Zip | 22043-3500
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Country | US
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Telephone | 703-821-1103
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Fax | 703-821-8752
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Authorized Official
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Title or Position | TMD SPECIALIST
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Name | DR. JEFFREY LEWIS BROWN
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Credential | DDS
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Telephone | 703-821-1103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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