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General NPI Number Information
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NPI Number | 1427824499
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Entity Type | Organization
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Legal Business Name | SMILING FACES PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 5055 MARYLAND WAY STE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-7666
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Country | US
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Telephone | 615-590-3430
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Fax | 615-432-5322
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Provider Business Mailing Address
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Address Line | 5055 MARYLAND WAY STE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-7666
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Country | US
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Telephone | 615-590-3430
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Fax | 615-432-5322
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | WHITNEY HILTON
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Credential |
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Telephone | 615-590-3430
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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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