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General NPI Number Information
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NPI Number | 1619886058
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Entity Type | Organization
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Legal Business Name | SMILE CULTURE WAYNE PPLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 840 E SWEDESFORD RD
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City | WAYNE
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State | PA
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Zip | 19087
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Country | US
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Telephone | 215-946-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 520 S OXFORD VALLEY RD
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City | FAIRLESS HILLS
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State | PA
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Zip | 19030-2615
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Country | US
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Telephone | 484-800-8444
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Fax |
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Authorized Official
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Title or Position | RCM SUPERVISOR
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Name | ALLISON TEIXEIRA
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Credential |
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Telephone | 484-800-8444
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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 |
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License Number State |
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