NUCLEAR SMILES LLC


Address: 10100 Twin Rivers Rd Apt 121, Columbia, MD 21044-2578
Phone: 3015380719

NUCLEAR SMILES LLC (NPI# 1609412592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609412592
Entity Type Organization
Organization Name NUCLEAR SMILES LLC
Practice Address 10100 Twin Rivers Rd Apt 121
Columbia
MD 21044-2578
Mailing Address 2104 Dixon Rd
Frederick
MD 21704-8135
Practice Telephone 3015380719
Mailing Telephone 3015380719
Enumeration Date 2019-11-26
Last Update Date 2019-11-26
Authorized Official Name DR. JON A MOLES (OWNER)
Authorized Official Telephone 3015380719
Authorized Official Credential DDS
Is Organization Subpart Y
Parent Organization Name THE VILLAGE ORTHODONTIST

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
Dental Providers

Office Location

Street Address 10100 TWIN RIVERS RD APT 121
City COLUMBIA
State MD
Zip Code 21044-2578

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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194332619 Candid South Carolina, P.C. Dentist 136-4 Forum Drive #a20, Columbia, SC 29229 2020-09-29
1164959524 Mariel Cotton Dentist 840 Admiral Weinel Blvd, Columbia, IL 62236-1992 2017-05-16
1730409152 Barbara G. Halpern Dentist 5570 Sterrett Place, Suite 301, Columbia, MD 21044 2010-06-08
1477796118 Columbia Orthodontics, PC Dentist 1324 Trotwood Ave Ste 1, Columbia, TN 38401-4750 2009-04-10
1598914525 The Dental Specialty Center, LLC Dentist 303 N Keene St Ste 210, Columbia, MO 65201-7193 2008-09-15
1033310685 Kerry White Brown Dentist 224 Oneil Ct Ste 13, Columbia, SC 29223-7649 2007-05-30
1063631711 Kerry White Brown, Dds, PC Dentist 224 Oneil Ct, Suite 13, Columbia, SC 29223-7649 2007-04-24
1962526277 Columbia Orthodontics Dentist 1060 Admiral Weinel Blvd, Columbia, IL 62236-1988 2007-03-19
1326178716 Kent Wingard Washington Dentist 7621 Trenholm Road Ext, Columbia, SC 29223-1719 2007-03-06
1225180300 Robinson Orthodontics Dentist 1609 Chapel Hill Rd, Suite B, Columbia, MO 65203-6368 2007-01-17
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Competitor

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City COLUMBIA
Zip Code 21044

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Dataset Information

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.

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