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General NPI Number Information
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NPI Number | 1497543110
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Entity Type | Organization
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Legal Business Name | SMILEY KIDS DENTAL PLLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 4143 N 16TH ST STE 1
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City | PHOENIX
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State | AZ
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Zip | 85016-5351
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Country | US
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Telephone | 602-858-8400
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Fax | 602-858-8488
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Provider Business Mailing Address
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Address Line | 4143 N 16TH ST STE 1
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City | PHOENIX
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State | AZ
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Zip | 85016-5351
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Country | US
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Telephone | 602-858-8400
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Fax | 602-858-8488
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Authorized Official
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Title or Position | DENTIST /OWNER
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Name | DR. DARA N FEINMAN
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Credential | DMD
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Telephone | 602-858-8400
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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 |
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License Number State |
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