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General NPI Number Information
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NPI Number | 1467528380
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Entity Type | Organization
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Legal Business Name | ERIC E SMITH DDS PC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11848 ROCK LANDING DR SUITE 301
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-596-6211
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Fax | 757-591-0798
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Provider Business Mailing Address
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Address Line | 11848 ROCK LANDING DR SUITE 301
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-596-6211
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Fax |
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Authorized Official
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Title or Position | DR OWNER
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Name | DR. ERIC E SMITH
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Credential | DDS
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Telephone | 757-596-6211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6746
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License Number State | VA
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