Organization Active NPI

Smile Savers of Laurel

  • Dental Clinic/Center
  • Laurel, MD
National Provider Identifier
1063927119
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE SAVERS OF LAUREL
Practice address
8377 Cherry LN
Laurel, MD 20707-4831
Phone
(301) 362-9700
Fax
(301) 362-4306
NPI assigned
Dec 12, 2017
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SMILE SAVERS OF LAURELAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Marie Hosang
Title
Office Manager
Phone
(301) 362-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

8377 Cherry LN
Laurel, MD 20707-4831

Mailing address

8377 Cherry LN
Laurel, MD 20707-4831
Phone (301) 362-9700

Other identifiers 1

IdentifierTypeStateIssuer
1033178579MedicaidMD

National Provider Directory

National Provider Directory
Part of
Smile Savers of Laurel

Locations

8377 Cherry Ln
Laurel, MD 20707
Phone (301) 362-9700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1063927119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8377 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074831",
            "telephone_number": "301-362-9700",
            "fax_number": "301-362-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8377 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074831",
            "telephone_number": "301-362-9700",
            "fax_number": "301-362-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SAVERS OF LAUREL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMILE SAVERS OF LAUREL",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "HOSANG",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-362-9700"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033178579",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.