SPRINGFIELD HEALTHY SMILE (NPI# 1235245879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235245879 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD HEALTHY SMILE |
| Practice Address |
8338 Traford Ln Springfield VA 22152-1638 |
| Practice Telephone | 7038667005 |
| Mailing Telephone | 7038667005 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARYAM SABA (OWNER) |
| Authorized Official Telephone | 7038667005 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
8338 TRAFORD LN |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22152-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140214 | Samantha Maria Puller | Physical Therapist | 8348 Traford Lane Suite 200, Springfield, VA 22152 | 2020-07-05 |
| 1780102335 | Illuminated Direction | Health Maintenance Organization | 6116 Rolling Road Suite 104, Springfield, VA 22152 | 2017-09-05 |
| 1023533650 | Megan H Morrow | Dentist | 5803 Rolling Rd Ste 211, Springfield, VA 22152 | 2017-08-04 |
| 1851815179 | Samantha Apoh | Registered Nurse | 6031 Sweet Oak Ct, Springfield, VA 22152 | 2017-07-28 |
| 1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
| 1114303450 | Catherine L Kestle | Social Worker | 8136 Old Keene Mill Rd, Suite A-302, Springfield, VA 22152 | 2015-08-10 |
| 1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
| 1063751295 | Rapfhel Adebowale Adenola | Nurse's Aide | 7541 Boston Blvd, Springfield, VA 22152 | 2013-02-07 |
| 1669742706 | Selamawit Harar | Pharmacist | 8414 Olk Keene Mill Rd, A, Springfield, VA 22152 | 2012-01-06 |
| 1275822116 | Elizabeth Diane Reed | Social Worker | 8440 Old Keene Mill Rd., Family Counseling of Springfield, Springfield, VA 22152 | 2011-03-31 |
| Find all providers in zip 22152 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092377 | Center for Dental Sleep Medicine, PC | Clinic/Center | 1795 Main St Ste 108, Springfield, MA 01103-1078 | 2020-01-21 |
| 1689228140 | Dr Dental of Massachusetts PC | Clinic/Center | 1101 Boston Road, Springfield, MA 01119 | 2019-08-01 |
| 1275094864 | Itooth Family Dentistry, LLC | Clinic/Center | 3211 E Battlefield St Ste 100, Springfield, MO 65804-4071 | 2019-03-27 |
| 1164918868 | Noble Family Dental PC | Clinic/Center | 665 Boston Rd, Springfield, MA 01119-1303 | 2018-07-05 |
| 1316430952 | Peterson Dental Care LLC | Clinic/Center | 2501 W Iles Ave Ste A, Springfield, IL 62704-6482 | 2018-06-08 |
| 1447765029 | Dental 32, L.L.C. | Clinic/Center | 2142 S Brentwood Blvd, Springfield, MO 65804-2539 | 2017-12-05 |
| 1922435148 | Kelly Dental LLC | Clinic/Center | 1655 S. Enterprise Ave Ste. A-3, Springfield, MO 65804 | 2013-10-02 |
| 1184986077 | All About Smiles Lc | Clinic/Center | 1717 E Cherokee St, Suite 104, Springfield, MO 65804-2335 | 2012-06-15 |
| 1285939157 | Derek R. Kaelin D.d.s, LLC | Clinic/Center | 4205 S Nature Center Way, Springfield, MO 65804-4921 | 2011-01-24 |
| 1295030203 | Derek R. Kaelin, D.d.s, LLC | Clinic/Center | 2105 W Kearney St Ste A, Springfield, MO 65803-1666 | 2011-01-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22152 |
Please comment or provide details below to improve the information on SPRINGFIELD HEALTHY SMILE.
| 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.