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General NPI Number Information
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NPI Number | 1760360929
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Entity Type | Organization
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Legal Business Name | SMILES FOR KEEPS, LLC
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5500 1ST AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35212-2518
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Country | US
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Telephone | 205-592-2255
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Fax | 205-592-3352
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Provider Business Mailing Address
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Address Line | 5500 1ST AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35212-2518
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Country | US
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Telephone | 205-592-2255
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Fax | 205-592-3352
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEXA MARTIN
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Credential | DMD
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Telephone | 205-914-4848
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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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Taxonomy #2
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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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