Organization Active NPI

Potomac Smiles Dental

  • Dental Clinic/Center
  • Oxon Hill, MD
National Provider Identifier
1366118663
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
POTOMAC SMILES DENTAL
Practice address
5722 Livingston Rd
Oxon Hill, MD 20745-2403
Phone
(301) 839-8888
Fax
(240) 898-1842
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Dr. Thao Trang Duy Nguyen, DMD
Title
Dentist
Phone
(202) 340-0533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

5722 Livingston Rd
Oxon Hill, MD 20745-2403

Mailing address

5722 Livingston Rd
Oxon Hill, MD 20745-2403
Phone (301) 839-8888

National Provider Directory

National Provider Directory

Locations

5722 Livingston Rd
Oxon Hill, MD 20745
Phone (301) 839-8888

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1366118663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 LIVINGSTON RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452403",
            "telephone_number": "301-839-8888",
            "fax_number": "240-898-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5722 LIVINGSTON RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207452403",
            "telephone_number": "301-839-8888",
            "fax_number": "240-898-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAO TRANG",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "202-340-0533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.