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General NPI Number Information
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NPI Number | 1598538076
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Entity Type | Organization
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Legal Business Name | SHARP SMILES, PLLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 2600 MARKET TRCE STE B
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City | FORT SMITH
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State | AR
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Zip | 72908-8681
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Country | US
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Telephone | 479-883-7994
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Fax |
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Provider Business Mailing Address
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Address Line | 707 LIVE OAK DR
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City | GREENWOOD
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State | AR
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Zip | 72936-3826
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KYLE C SHARP
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Credential | DDS
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Telephone | 479-883-7994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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