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General NPI Number Information
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NPI Number | 1699463497
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Entity Type | Organization
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Legal Business Name | J & J SMILES
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1175 W WICKENBURG WAY SUITE 1
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City | WICKENBURG
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State | AZ
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Zip | 85390-2262
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Country | US
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Telephone | 623-217-2948
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Fax | 602-428-6860
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Provider Business Mailing Address
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Address Line | 12425 W BELL RD SUITE A-128
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City | SURPRISE
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State | AZ
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Zip | 85378-9023
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Country | US
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Telephone | 623-217-2948
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Fax | 602-428-6860
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | JENNA L GAZZOLA
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Credential | DMD
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Telephone | 623-217-2948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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