SKP Family Dental

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

15553 Issued in MD

Legal business name

SKP FAMILY DENTAL

Practice address

7525 Greenway Center Dr Ste 310
Greenbelt, MD 20770-3525

Phone

(240) 553-7772

Fax

(240) 553-7782

NPI assigned

Sep 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Paulos F Dalu

Title

Dentist

Phone

(240) 553-7772

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1104226653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 310",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "240-553-7772",
            "fax_number": "240-553-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE 310",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703525",
            "telephone_number": "240-553-7772",
            "fax_number": "240-553-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKP FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "DALU",
        "authorized_official_first_name": "PAULOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "240-553-7772",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MD",
            "license": "15553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "1982038139",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Renee Simpkins, LMSW
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• Virender Pal Singh, M.D.
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• Craig Ardie Smith, DDS PA
• Jasmine G Smith

• Exclusive Provider Organization in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Exclusive Provider Organization in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.