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General NPI Number Information
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NPI Number | 1679485031
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Entity Type | Organization
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Legal Business Name | LITTLE SMILES OF SHRESWBURY LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 7220 WATSON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-4404
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Country | US
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Telephone | 636-238-3520
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 HERITAGE HILLS DR
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City | WASHINGTON
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State | MO
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Zip | 63090-4621
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Country | US
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Telephone | 636-238-3520
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COREY HASTINGS
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Credential | DDS
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Telephone | 636-238-3520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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