CHARMING SMILES FAMILY DENTISTRY (NPI# 1104319029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104319029 |
| Entity Type | Organization |
| Organization Name | CHARMING SMILES FAMILY DENTISTRY |
| Practice Address |
14333 Laurel Bowie Rd Ste 307 Laurel MD 20708-1183 |
| Mailing Address |
Po Box 1257 Laurel MD 20725-1257 |
| Practice Telephone | 3013179020 |
| Mailing Telephone | 3013179020 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | DR. NATALIE G. KELLEY (OWNER) |
| Authorized Official Telephone | 3013179020 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14418 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 031398000 | 05 |
| Street Address |
14333 LAUREL BOWIE RD STE 307 |
| City | LAUREL |
| State | MD |
| Zip Code | 20708-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1588287072 | Rebecca Sim | Social Worker | 14112 Bramble Court, Apt 101, Laurel, MD 20708 | 2020-05-19 |
| 1265082978 | Leslie Duncan | Nurse Practitioner | 12908 Golden Oak Dr, Laurel, MD 20708 | 2019-09-14 |
| 1043872310 | Josephine Edet | Driver | 8401 Snowden Loop Ct, Laurel, MD 20708 | 2019-07-07 |
| 1073083655 | Mamta Sampemane | Occupational Therapist | 14409 Greenview Drive Ste 102, Laurel, MD 20708 | 2018-11-27 |
| 1669950275 | Ngendap Tengen Coreen | Home Health Aide | 13009 Mistletoe Spring Rd Apt 516, Laurel, MD 20708 | 2018-08-06 |
| 1447737994 | Chelsey Nicole Garwood | Technician | 9614 Muirkirk Rd, Apt C166, Laurel, MD 20708 | 2018-07-26 |
| 1730665951 | Agnes Aka Nkafu | Home Health Aide | 9017 Contee Rd Apt 302, Laurel, MD 20708 | 2018-07-11 |
| 1568988756 | Olabisi Ntumngia | Home Health Aide | 8903 Ascot Lane, Apt 11, Laurel, MD 20708 | 2017-08-18 |
| 1376083014 | Amiable Home Health Inc. | Home Health | 10120 Bignonia Drive, Laurel, MD 20708 | 2017-02-28 |
| Find all providers in zip 20708 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942769468 | Vaibhav Rai Dds LLC | Dentist | 7350 Van Dusen Rd Ste 440, Laurel, MD 20707-5265 | 2019-03-14 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1265959837 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 13919 Baltimore Ave, Laurel, MD 20707-5044 | 2017-08-24 |
| 1245602168 | Robert F. Gradishar Dds Pa | Dentist | 11200 Scaggsville Rd Ste 119, Laurel, MD 20723-2024 | 2015-10-30 |
| 1891167193 | Laurel Pines Dental 100 LLC | Dentist | 14333 Laurel Bowie Rd Ste 100, Laurel, MD 20708-1149 | 2015-10-26 |
| 1447695127 | Jeffrey Bartoshesky | Dentist | 10250 Stone Creek Dr Unit 1, Laurel, DE 19956-4707 | 2013-05-08 |
| 1508111907 | Halima R Karim | Dentist | 8383 Cherry Ln, Laurel, MD 20707-4832 | 2012-07-21 |
| 1154631075 | Dental Professionals of Maryland, Gerald Awadzi, PC | Dentist | 7500 Montpelier Rd Ste 108, Laurel, MD 20723-6012 | 2010-10-13 |
| 1750522181 | Sung Joo Kim | Dentist | 7302 Waterloo Walk, Laurel, MD 20707-6914 | 2009-03-15 |
| 1124274394 | Robert Stephen Ellis | Dentist | 1434 - Parker Drive, Laurel, MS 39440-1942 | 2008-08-07 |
| Find all providers in LAUREL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.