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General NPI Number Information
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NPI Number | 1548123722
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Entity Type | Organization
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Legal Business Name | SMITH DENTAL SPECIALTIES
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 5102 PAULSEN ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4601
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Country | US
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Telephone | 912-755-0409
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Fax | 912-335-3416
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Provider Business Mailing Address
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Address Line | 5102 PAULSEN ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4601
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Country | US
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Telephone | 912-755-0409
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Fax | 912-335-3416
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Authorized Official
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Title or Position | OWNER
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Name | DR. CYNTHIA ANITA HUCKS-SMITH
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Credential | PHD
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Telephone | 912-755-0409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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Taxonomy #3
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Taxonomy Code | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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