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General NPI Number Information
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NPI Number | 1912860552
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Entity Type | Organization
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Legal Business Name | SUNNY SMILES PEDIATRIC DENTISTRY PLLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 9612 FM 1488 SUITE 300
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City | MAGNOLIA
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State | TX
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Zip | 77354
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Country | US
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Telephone | 291-728-4228
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Fax |
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Provider Business Mailing Address
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Address Line | 21283 HIDDEN BEND LOOP
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City | MAGNOLIA
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State | TX
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Zip | 77354-4267
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | HILARY TANDY
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Credential |
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Telephone | 281-728-4228
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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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