NPIMap

Organization Active NPI

Hagerstown Smiles Dental Care, PA

  • Dental Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1154962579
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HAGERSTOWN SMILES DENTAL CARE, PA
Practice address
1115 Mount Aetna Rd Ste Unit
Hagerstown, MD 21740-6806
Phone
(301) 739-7003
Fax
(301) 739-7910
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Haley Gordon
Title
Office Manager
Phone
(301) 739-7003

Specialties & licenses 1

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

Addresses

Primary practice location

1115 Mount Aetna Rd Ste Unit
Hagerstown, MD 21740-6806

Mailing address

1115 Mount Aetna Rd Ste Unit
Hagerstown, MD 21740-6806
Phone (301) 739-7003

National Provider Directory

National Provider Directory

Locations

1115 Mount Aetna Rd
Hagerstown, MD 21740
Phone (301) 739-7003

Practitioners & affiliated clinicians

Practitioners 4

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": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1154962579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MOUNT AETNA RD STE UNIT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406806",
            "telephone_number": "301-739-7003",
            "fax_number": "301-739-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MOUNT AETNA RD STE UNIT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406806",
            "telephone_number": "301-739-7003",
            "fax_number": "301-739-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGERSTOWN SMILES DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-739-7003"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.