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General NPI Number Information
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NPI Number | 1407764129
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Entity Type | Organization
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Legal Business Name | SCHELL SMILES PEDIATRIC DENTISTRY, PLLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 12800 LEBANON RD STE 108
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City | MT JULIET
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State | TN
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Zip | 37122-2857
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Country | US
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Telephone | 615-909-8133
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Fax |
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Provider Business Mailing Address
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Address Line | 1410 ADAMS ST APT 515
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City | NASHVILLE
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State | TN
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Zip | 37208-2392
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Country | US
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Telephone | 239-220-7014
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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 | LOGAN SCHELL
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Credential | DMD
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Telephone | 239-220-7014
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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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