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General NPI Number Information
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NPI Number | 1801975289
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Entity Type | Organization
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Legal Business Name | CONTEMPORARY SMILES P.C.
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4870 N ADAMS RD
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City | OAKLAND TOWNSHIP
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State | MI
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Zip | 48306-1415
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Country | US
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Telephone | 248-754-1111
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Fax | 248-373-3325
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Provider Business Mailing Address
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Address Line | 4651 BALDWIN RD
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City | METAMORA
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State | MI
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Zip | 48455-8928
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Country | US
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Telephone | 810-678-2033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TERRY WILLIAM BUDAY
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Credential | DDS
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Telephone | 248-754-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 014236
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License Number State | MI
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