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General NPI Number Information
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NPI Number | 1538212048
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Entity Type | Organization
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Legal Business Name | MATTHEW T SMITH DDS PC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 9301 E SHEA BLVD SUITE 111
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6733
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Country | US
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Telephone | 480-767-8804
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Fax | 480-767-1353
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Provider Business Mailing Address
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Address Line | 9301 E SHEA BLVD SUITE 111
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6733
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Country | US
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Telephone | 480-767-8804
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Fax | 480-767-1353
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MATTHEW TODD SMITH
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Credential | DDS
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Telephone | 480-203-3255
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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 | D4932
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License Number State | AZ
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