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General NPI Number Information
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NPI Number | 1780754382
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Entity Type | Organization
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Legal Business Name | ROBERT A. SMITH, DMD INC.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2021 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2850
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Country | US
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Telephone | 661-322-2071
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Fax | 661-322-2073
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Provider Business Mailing Address
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Address Line | 2021 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2850
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Country | US
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Telephone | 661-322-2071
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Fax | 661-322-2073
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT ALAN SMITH
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Credential | D.M.D.
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Telephone | 661-322-2071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 30006
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License Number State | CA
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