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General NPI Number Information
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NPI Number | 1427120971
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Entity Type | Organization
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Legal Business Name | NORFOLK FAMILY DENTAL CENTER PC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2104 TAYLOR AVE
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City | NORFOLK
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State | NE
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Zip | 68701
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Country | US
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Telephone | 402-371-6566
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Fax | 402-379-5281
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Provider Business Mailing Address
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Address Line | 2104 TAYLOR AVE
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City | NORFOLK
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State | NE
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Zip | 68701
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Country | US
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Telephone | 402-371-6566
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Fax | 402-379-5281
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DONALD GEORGE SMITH JR.
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Credential | DDS
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Telephone | 402-371-6566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 4294
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License Number State | NE
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Taxonomy #2
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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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