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General NPI Number Information
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NPI Number | 1598936593
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Entity Type | Organization
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Legal Business Name | SMILEY DENTAL ASSOCIATES INC.
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 2026 CLIFTON AVE.
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City | NASHVILLE
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State | TN
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Zip | 37203
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Country | US
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Telephone | 615-321-5600
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Fax | 615-327-4433
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Provider Business Mailing Address
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Address Line | 343 22ND AVE. NORTH SMILEY DENTAL ASSOCIATES INC.
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City | NASHVILLE
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State | TN
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Zip | 37203
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Country | US
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Telephone | 615-321-5600
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Fax | 615-327-4433
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | MRS. TIFFANY LA'SHAWN BROWN
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Credential |
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Telephone | 615-321-5600
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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 | 8039
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4871
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License Number State | TN
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