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General NPI Number Information
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NPI Number | 1891354841
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Entity Type | Organization
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Legal Business Name | SMART DENTAL HOLDINGS, LLC
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 06/12/2019
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Provider Practice Location Address
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Address Line | 5751 POCAHONTAS RD
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City | BESSEMER
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State | AL
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Zip | 35022-5476
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Country | US
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Telephone | 205-477-4242
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Fax | 205-477-4243
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Provider Business Mailing Address
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Address Line | 5751 POCAHONTAS RD
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City | BESSEMER
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State | AL
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Zip | 35022-5476
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Country | US
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Telephone | 205-477-4242
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Fax | 205-477-4243
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. KELLIE HOBSON
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Credential |
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Telephone | 205-477-4242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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