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General NPI Number Information
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NPI Number | 1821814872
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Entity Type | Organization
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Legal Business Name | ANN NESMITH DMD PLLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 1955 US HIGHWAY 227
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City | CARROLLTON
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State | KY
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Zip | 41008-8037
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Country | US
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Telephone | 502-732-5506
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Fax | 502-732-8953
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Provider Business Mailing Address
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Address Line | 1955 US HIGHWAY 227
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City | CARROLLTON
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State | KY
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Zip | 41008-8037
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Country | US
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Telephone | 502-732-5506
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Fax | 502-732-8953
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | ANN NESMITH
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Credential | DMD
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Telephone | 502-732-5506
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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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