Smile Loft Affinity Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE LOFT AFFINITY DENTAL LLC

Practice address

4 E Rolling XRDS Ste 205
Catonsville, MD 21228-6281

Phone

(410) 719-7900

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Vaibhav Rai, DDS

Title

Member

Phone

(610) 216-0339

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1326620196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E ROLLING XRDS STE 205",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286281",
            "telephone_number": "410-719-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E ROLLING XRDS STE 205",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286281",
            "telephone_number": "410-719-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LOFT AFFINITY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "VAIBHAV",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-216-0339",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046068200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Catonsville, MD
• Providers in Catonsville, 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 Apr 22, 2021; 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.