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General NPI Number Information
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NPI Number | 1669645461
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Entity Type | Organization
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Legal Business Name | AMAZING SMILES DENTAL, LLC
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Dates
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Enumeration Date | 04/12/2008
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 8571 S MASON MONTGOMERY RD BLDG 300
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City | MASON
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State | OH
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Zip | 45040-9808
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Country | US
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Telephone | 513-770-6790
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Fax | 513-770-6794
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Provider Business Mailing Address
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Address Line | 8571 S MASON MONTGOMERY RD STE 37
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City | MASON
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State | OH
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Zip | 45040-9808
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Country | US
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Telephone | 513-770-6790
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Fax | 513-770-6794
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Authorized Official
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Title or Position | OWNER
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Name | DR. SYED HAIDER ALI HASSAN
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Credential | D.D.S.
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Telephone | 513-367-9464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | OH21642
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | OH21536
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License Number State | OH
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