Soul Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUL SMILES

Practice address

5402 Queens Chapel Rd
Hyattsville, MD 20782-3901

Phone

(240) 696-7842

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Vincent HathawayNPI 1881046449

Title

Owner/Dentist

Phone

(301) 523-0939

Specialties & licenses 1

Addresses

Tax ID family

Soul Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soul Smiles LLC

  • Dental Clinic/Center
  • Silver Spring, MD
  • NPI 1356105407
  NPD tax ID

Practitioners 1

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

• Vincent Hathaway

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1881046449
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1245983261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10932 HILLTOP LN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823901",
            "telephone_number": "240-696-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "301-523-0939",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawson Ngome Sone
• Marjoh Fuleh Sonjong
• Shilling Mbu Soppo
• Cherry Sorzano
• Abosede Mary Sosan Sr.
• Soul-Care Behavioral Health Services LLC
• Namarig Soumit
• Sowbah Healthcare Services LLC
• Humphrey Sowho
• Sparkle Healing LLC

• General Practice Dentistry in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.