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General NPI Number Information
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NPI Number | 1457750192
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Entity Type | Organization
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Legal Business Name | SMILE KEEPERS PLLC
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 218 US HWY 290 WEST
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City | BRENHAM
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State | TX
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Zip | 77833
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Country | US
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Telephone | 617-913-2151
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Fax |
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Provider Business Mailing Address
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Address Line | 218 US HWY 290 WEST
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City | BRENHAM
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State | TX
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Zip | 77833
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Country | US
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Telephone | 617-913-2151
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUMEET SHARMA
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Credential | DMD
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Telephone | 617-913-2151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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