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General NPI Number Information
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NPI Number | 1699659573
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Entity Type | Organization
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Legal Business Name | GROWING SMILES PEDIATRIC DENTISTRY PLLC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 517 HAMMILL LANE
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City | RENO
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State | NV
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Zip | 89511-1004
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Country | US
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Telephone | 775-824-2323
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Fax | 775-824-2323
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Provider Business Mailing Address
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Address Line | 517 HAMMILL LANE
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City | RENO
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State | NV
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Zip | 89511-1004
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Country | US
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Telephone | 775-824-2323
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Fax | 775-824-2324
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Authorized Official
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Title or Position | PEDIATRIC DENTIST/OWNER
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Name | DR. KELLIE MCGINLEY
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Credential | DDS
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Telephone | 775-824-2323
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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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