Suzanne Motwaly DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUZANNE MOTWALY DDS LLC

Practice address

6718 Ritchie Hwy Ste C
Glen Burnie, MD 21061-2881

Phone

(410) 709-0003

Fax

(410) 709-0990

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Motwaly, DDS

Title

Owner

Phone

(410) 709-0003

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amazing Smiles Doing business as

Locations

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1376284471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 RITCHIE HWY STE C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612881",
            "telephone_number": "410-709-0003",
            "fax_number": "410-709-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 RITCHIE HWY STE C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612881",
            "telephone_number": "410-709-0003",
            "fax_number": "410-709-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE MOTWALY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "MOTWALY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-709-0003",
        "authorized_official_name_prefix": "Dr.",
        "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": "907729400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surgical Assist Services LLC
• Juan A Suriel, MD
• Sushma Bhasin
• Sushma Bhasin
• Jason Sutton
• Judith Swaim
• Linda Jean Swallow, CRNP
• Honey E Sward, MD
• Krista Swetz, MS, OTR/L, SCSS
• Sheryl Kay Swidensky, LCSW-C

• General Practice Dentistry in Glen Burnie, MD
• Providers in Glen Burnie, 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 5, 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.