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General NPI Number Information
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NPI Number | 1669274338
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Entity Type | Organization
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Legal Business Name | GEN SMILES INC.
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 3023 CENTRE OAK WAY
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City | GERMANTOWN
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State | TN
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Zip | 38138-6306
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Country | US
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Telephone | 901-755-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 6757 E SHELBY DR
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City | MEMPHIS
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State | TN
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Zip | 38141-7846
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Country | US
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Telephone | 901-441-6149
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Fax | 901-441-6141
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JEFFERY GEN SMILES DOLBERRY
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Credential | DDS
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Telephone | 901-441-6149
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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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