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General NPI Number Information
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NPI Number | 1538458286
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Entity Type | Organization
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Legal Business Name | HEALTHY SMILES DENTAL CARE OF MUSKEGON, PLLC
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 268 SEMINOLE RD
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City | NORTON SHORES
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State | MI
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Zip | 49444-3733
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Country | US
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Telephone | 231-563-6878
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Fax | 231-747-9093
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Provider Business Mailing Address
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Address Line | PO BOX 340
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City | CHELSEA
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State | MI
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Zip | 48118-0340
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Country | US
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Telephone | 734-253-6150
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Fax | 734-627-9180
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN RODRIGUEZ
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Credential |
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Telephone | 231-563-6878
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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 | 015703
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License Number State | MI
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