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General NPI Number Information
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NPI Number | 1487596722
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Entity Type | Organization
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Legal Business Name | SMILEZEUM, LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 9300 LOTTSFORD RD STE 404
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City | LARGO
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State | MD
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Zip | 20774-4886
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Country | US
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Telephone | 301-678-9464
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 DONNELL DR
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City | DISTRICT HEIGHTS
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State | MD
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Zip | 20747-3970
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Country | US
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Telephone | 301-678-9464
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Fax |
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Authorized Official
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Title or Position | OWNER/PEDIATRIC DENTIST
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Name | CHRISTINA COLEMAN
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Credential | DDS
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Telephone | 301-678-9464
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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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