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General NPI Number Information
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NPI Number | 1477814929
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Entity Type | Organization
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Legal Business Name | SMILE RIGHT FAMILY DENTISTRY
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 8329 ROSWELL RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-2810
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Country | US
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Telephone | 770-671-1111
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Fax | 770-379-0992
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Provider Business Mailing Address
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Address Line | 8329 ROSWELL RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-2810
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Country | US
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Telephone | 770-671-1111
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Fax | 770-379-0992
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELLE CHESHIRE
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Credential |
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Telephone | 770-671-1111
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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 | DN012625
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License Number State | GA
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