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General NPI Number Information
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NPI Number | 1881861631
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Entity Type | Organization
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Legal Business Name | SMILES FROM US, PLLC
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 2600 BELL RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-4375
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Country | US
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Telephone | 334-358-6411
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Fax | 334-351-0033
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Provider Business Mailing Address
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Address Line | 2600 BELL RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-4375
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Country | US
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Telephone | 334-358-6411
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Fax | 334-351-0033
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Authorized Official
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Title or Position | DENTIST/VICE PRESIDENT
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Name | JOHN D. STANLEY
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Credential | DMD
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Telephone | 334-358-6411
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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 | 2865
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4869
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5053
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5221
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5199
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License Number State | AL
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