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General NPI Number Information
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NPI Number | 1619477460
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Entity Type | Organization
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Legal Business Name | SMILE TUNERS, P.C
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Dates
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Enumeration Date | 02/19/2018
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Last Update Date | 02/19/2018
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Provider Practice Location Address
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Address Line | 5243 SNAPFINGER WOODS DR STE 105
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City | DECATUR
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State | GA
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Zip | 30035-4000
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Country | US
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Telephone | 770-981-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 2226 WORRALL HILL DR
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City | DULUTH
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State | GA
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Zip | 30096-1269
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Country | US
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Telephone | 478-719-6933
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIMIESH CRANE
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Credential | DDS
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Telephone | 770-981-8200
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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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License Number |
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License Number State | GA
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