NPIMap

Organization Active NPI

Sculpted Smiles

Doing business as Sculpted Smiles Family Dentistry

  • Dental Clinic/Center
  • Upper Marlboro, MD
National Provider Identifier
1083418438
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SCULPTED SMILES
Doing business as
Sculpted Smiles Family Dentistry
Practice address
14414 Old Mill Rd # 101
Upper Marlboro, MD 20772-3186
Phone
(301) 627-6646
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Oluwatobi Fatunmbi, DDSNPI 1255940995
Title
Dentist
Phone
(202) 618-1760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

14414 Old Mill Rd # 101
Upper Marlboro, MD 20772-3186

Mailing address

31 Blue Hen Dr
Newark, DE 19713-3405
Phone (302) 438-6370

Other names 1

  • Sculpted Smiles Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

31 Blue Hen Dr
Newark, DE 19713

14414 Old Mill Rd
#101
Uppr Marlboro, MD 20772
Phone (301) 627-6646

Practitioners & affiliated clinicians

Practitioners 2

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": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1083418438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BLUE HEN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133405",
            "telephone_number": "302-438-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14414 OLD MILL RD # 101",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723186",
            "telephone_number": "301-627-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPTED SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "FATUNMBI",
        "authorized_official_first_name": "OLUWATOBI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "202-618-1760",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sculpted Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.