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General NPI Number Information
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NPI Number | 1528336344
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Entity Type | Organization
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Legal Business Name | SMILE SHOPPES JEFFREY D RHODES DDS MS PLLC
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 7058 W SUNSET AVE SUITE 9B
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City | SPRINGDALE
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State | AR
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Zip | 72762-0680
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Country | US
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Telephone | 479-756-6377
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Fax |
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Provider Business Mailing Address
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Address Line | 5518 WALSH LN SUITE 102
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City | ROGERS
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State | AR
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Zip | 72758-8947
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Country | US
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Telephone | 479-236-5333
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | DR. JEFFREY D RHODES
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Credential | DDS,MS
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Telephone | 479-236-5333
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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 | 2924
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License Number State | AR
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