Smile Loft Towne Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE LOFT TOWNE CENTER LLC

Practice address

1003 4TH St
Laurel, MD 20707-3801

Phone

(301) 725-1002

NPI assigned

Apr 11, 2022

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

Electronic endpoints 1

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1396487351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11345 ALBERMYRTLE RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541403",
            "telephone_number": "610-216-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 4TH ST",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073801",
            "telephone_number": "301-725-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LOFT TOWNE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "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": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SLTowneCenter@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1003 4th St",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207073801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• General Practice Dentistry in Laurel, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.