Soul Smiles LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUL SMILES LLC

Practice address

8730 Georgia Ave Ste 308
Silver Spring, MD 20910-3650

Phone

(240) 335-7685

NPI assigned

Feb 9, 2024

Last updated

Feb 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Hathaway, DDSNPI 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

  • General Practice Dentistry
  • Hyattsville, MD
  • NPI 1245983261
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• 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": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1356105407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 GEORGIA AVE STE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103650",
            "telephone_number": "240-335-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 GEORGIA AVE STE 308",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103650",
            "telephone_number": "240-335-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2022-02-16",
        "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.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Samuel Sosa, LCPC
• Uriah Sossou
• Jade Victoria Soto, RBT
• Aissata Souare
• Soul Healing Spaces, LLC
• Soulshine Speech Therapy LLC
• Erin M South, PHARM.D.
• Stephanie Southard, CRNP
• Karen M Sova, CRNP
• Adam Joseph Sowa, PH.D.

• Dental Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.