NPIMap

Organization Active NPI

Southern Maryland Family Dental

  • Dental Clinic/Center
  • Gambrills, MD
National Provider Identifier
1225694029
Registry record updated Jul 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTHERN MARYLAND FAMILY DENTAL
Doing business as
Southern Maryland Family Dental
Practice address
1438 Defense Hwy Ste 101
Gambrills, MD 21054-2023
Phone
(410) 721-3567
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2019

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

Authorized official

Name
Michael S Saoud, DMD
Title
Owner/Dentist
Phone
(301) 848-5321

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1438 Defense Hwy Ste 101
Gambrills, MD 21054-2023

Mailing address

1438 Defense Hwy Ste 101
Gambrills, MD 21054-2023
Phone (410) 721-3567

Other practice location 1

1438 Defense Hwy Ste 101
Gambrills, MD 21054-2023
Phone (410) 721-3567

Other names 2

  • Southern Maryland Family Dental Doing business as
  • Michael Saoud Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562371200000",
    "number": "1225694029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HWY STE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542023",
            "telephone_number": "410-721-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HWY STE 101",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210542023",
            "telephone_number": "410-721-3567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1438 Defense Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gambrills",
            "state": "MD",
            "postal_code": "210542023",
            "country_code": "US",
            "telephone_number": "410-721-3567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-07-06",
        "status": "A",
        "authorized_official_last_name": "SAOUD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-848-5321",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Maryland Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Maryland Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael Saoud",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.