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General NPI Number Information
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NPI Number | 1508780065
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Entity Type | Organization
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Legal Business Name | GRINS AND GIGGLES PEDIATRIC DENTISTRY
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 190 CURTIS PKWY NE STE B
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City | CALHOUN
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State | GA
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Zip | 30701-2057
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Country | US
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Telephone | 706-602-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 190 CURTIS PKWY NE STE B
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City | CALHOUN
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State | GA
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Zip | 30701-2057
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Country | US
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Telephone | 706-602-0448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TONYA BAKER
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Credential | DMD
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Telephone | 706-602-0448
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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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