{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "JONATHAN D MILES DDS, PC",
"LastName": null,
"FirstName": null,
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"NamePrefix": null,
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"Credential": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "510 S MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SMITHFIELD",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84335-2306",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "435-563-3266",
"MailingAddressFaxNumber": "435-563-3267",
"FirstLinePracticeLocationAddress": "510 S MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SMITHFIELD",
"PracticeLocationAddressStateName": "UT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "435-563-3266",
"PracticeLocationAddressFaxNumber": "435-563-3267",
"EnumerationDate": "06/17/2026",
"LastUpdateDate": "06/17/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MILES",
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"AuthorizedOfficialMiddleName": "DAVID",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "435-232-6630",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QD0000X",
"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}