Organization Active NPI

WWW Smiles, LLC

  • Dentist
  • Bethesda, MD
National Provider Identifier
1295979847
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12693 Issued in MD
Legal business name
WWW SMILES, LLC
Practice address
8201 Wisconsin Ave
Bethesda, MD 20814-3101
Phone
(301) 907-8201
Fax
(301) 907-8202
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. Treva Eileen Willis, D.D.S.
Title
Dentist/Member
Phone
(410) 913-1077

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 12693 MD Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 14153 MD
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 12460 MD

Addresses

Primary practice location

8201 Wisconsin Ave
Bethesda, MD 20814-3101

Mailing address

8201 Wisconsin Ave
Bethesda, MD 20814-3101
Phone (301) 907-8201

Other names 1

  • Smile Design Studio Doing business as

National Provider Directory

National Provider Directory

Locations

8201 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 907-8201

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": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1295979847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143101",
            "telephone_number": "301-907-8201",
            "fax_number": "301-907-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143101",
            "telephone_number": "301-907-8201",
            "fax_number": "301-907-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WWW SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "TREVA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "DENTIST/MEMBER",
        "authorized_official_telephone_number": "410-913-1077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12693",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "14153",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "12460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Design Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.