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General NPI Number Information
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NPI Number | 1992862643
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Entity Type | Organization
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Legal Business Name | SMILE CREATIONS, PLLC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 711 E CAREFREE HWY SUITE #210
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City | PHOENIX
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State | AZ
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Zip | 85085-0101
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Country | US
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Telephone | 623-434-9868
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Fax | 623-434-9864
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Provider Business Mailing Address
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Address Line | 711 E CAREFREE HWY SUITE #210
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City | PHOENIX
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State | AZ
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Zip | 85085-0101
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Country | US
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Telephone | 623-434-9868
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Fax | 623-434-9864
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Authorized Official
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Title or Position | OWNER-DENTIST
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Name | DR. BHARAT K PATEL
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Credential | DMD
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Telephone | 623-434-9868
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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 | 5529
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5363
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License Number State | AZ
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