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SILVER SPRING SMILES LLC NPI 1619347176


NPI Information

NPI: 1619347176
Provider Name: SILVER SPRING SMILES, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
921 ELLSWORTH DR STE B
SILVER SPRING, MD
ZIP 20910
Phone: (301) 588-5400
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SILVER SPRING SMILES, LLC is a dental clinic center in Silver Spring, MD. SILVER SPRING SMILES, LLC NPI is 1619347176. The provider is registered as an organization entity type.

The provider's business location address is:

921 ELLSWORTH DR STE B
SILVER SPRING, MD
ZIP 20910-478
Phone: (301) 588-5400
Fax: (301) 588-6454

The provider's authorized official is Daniel Ayana Dufera .
The authorized official title is Owner and has the following contact phone number (301) 588-5400.

The enumeration date for this NPI number is 9/28/2015 and was last updated on 9/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental14480MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1071632400MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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