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General NPI Number Information
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NPI Number | 1831061985
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Entity Type | Organization
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Legal Business Name | FOREVER SMILE DENTAL
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 11630 OLIO RD STE 100
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City | FISHERS
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State | IN
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Zip | 46037-7678
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Country | US
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Telephone | 209-324-0943
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Fax |
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Provider Business Mailing Address
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Address Line | 15907 BLACK WILLOW LN
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City | FISHERS
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State | IN
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Zip | 46040-8817
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Country | US
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Telephone | 209-324-0943
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Fax |
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Authorized Official
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Title or Position | DDS/OWNER DENTIST
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Name | DR. JASPREET KAUR
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Credential |
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Telephone | 209-324-0943
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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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