MARYLAND SMILE CENTER (NPI# 1417462904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417462904 |
| Entity Type | Organization |
| Organization Name | MARYLAND SMILE CENTER |
| Practice Address |
9520 Berger Rd Ste 303-305 Columbia MD 21046-1501 |
| Practice Telephone | 3016911112 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |
| Authorized Official Name | SOOYEON PARK (DDS DENTIST) |
| Authorized Official Telephone | 3016911112 |
| Authorized Official Credential | DDS |
| 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 |
9520 BERGER RD STE 303-305 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444740 | Ressel Family Dentistry LLC | Clinic/Center | 1 E Broadway Ste A, Columbia, MO 65203-4205 | 2020-10-16 |
| 1578175733 | Columbia Dental LLC | Clinic/Center | 846 Lancaster Ave, Columbia, PA 17512-2206 | 2020-08-19 |
| 1386256931 | B. Casey Crafton Dds Ms PC | Clinic/Center | 10380 Old Columbia Rd, Columbia, MD 21046-1882 | 2020-08-17 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| 1609335066 | Dentistry for Children of Maryland, LLC | Clinic/Center | 8600 Snowden River Pkwy Ste 302, Columbia, MD 21045-1985 | 2019-03-15 |
| 1407314404 | Dental Wellness Center of Irmo, LLC | Clinic/Center | 2724 N Lake Dr Ste 304, Columbia, SC 29212-8733 | 2019-03-08 |
| 1386101459 | Columbia Dental Health Clinic | Clinic/Center | 2750 Laurel St Ste 202, Columbia, SC 29204-2024 | 2019-02-26 |
| 1821580622 | Columbia Smiles Downtown | Clinic/Center | 1310 Lady St Ste 600, Columbia, SC 29201-3327 | 2018-06-06 |
| 1427548353 | Simply Smile Pa | Clinic/Center | 7457 Patterson Rd Ste 107, Columbia, SC 29209-0710 | 2018-05-16 |
| 1477055481 | Southern Smiles Dental Studio Columbia LLC | Clinic/Center | 160 Summit Centre Dr, Columbia, SC 29229-7612 | 2018-03-06 |
| Find all providers in COLUMBIA | ||||
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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.