NPIMap

Organization Active NPI

Smile Li Dental

  • Dental Clinic/Center
  • Fulton, MD
National Provider Identifier
1134900145
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE LI DENTAL
Practice address
7625 Maple Lawn Blvd Ste 155
Fulton, MD 20759-2598
Phone
(443) 393-3988
NPI assigned
Oct 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Sicong Li, DMDNPI 1568020824
Title
Dentist
Phone
(443) 393-3988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

7625 Maple Lawn Blvd Ste 155
Fulton, MD 20759-2598

Mailing address

7625 Maple Lawn Blvd Ste 155
Fulton, MD 20759-2598
Phone (443) 393-3988

National Provider Directory

National Provider Directory

Locations

7625 Maple Lawn Blvd
Ste 155
Fulton, MD 20759
Phone (301) 890-4055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1134900145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 155",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592598",
            "telephone_number": "443-393-3988",
            "fax_number": "443-393-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 155",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592598",
            "telephone_number": "443-393-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SICONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "443-393-3988",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.