Organization Active NPI

Emergdent LLC

Doing business as Smiles of Salisbury

  • General Practice Dentistry
  • Salisbury, MD
National Provider Identifier
1457778037
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13673 Issued in MD
Legal business name
EMERGDENT LLC
Doing business as
Smiles of Salisbury
Practice address
2505 N Salisbury Blvd
Unit 2
Salisbury, MD 21801-2187
Phone
(443) 736-4513
Fax
(443) 736-4514
NPI assigned
Mar 21, 2014
Last updated
Mar 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Dr. Jean-Daniel Brutus, DDS
Title
Dentist/Owner
Phone
(443) 736-4513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13673 MD Primary

Addresses

Primary practice location

2505 N Salisbury Blvd
Unit 2
Salisbury, MD 21801-2187

Mailing address

2505 N Salisbury Blvd
Unit 2
Salisbury, MD 21801-2187
Phone (443) 736-4513

Other names 1

  • Smiles of Salisbury Doing business as

National Provider Directory

National Provider Directory

Locations

2505 N Salisbury Blvd
Unit 2
Salisbury, MD 21801
Phone (410) 543-0017

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1457778037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N SALISBURY BLVD",
            "address_2": "UNIT 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012187",
            "telephone_number": "443-736-4513",
            "fax_number": "443-736-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N SALISBURY BLVD",
            "address_2": "UNIT 2",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012187",
            "telephone_number": "443-736-4513",
            "fax_number": "443-736-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGDENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "JEAN-DANIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "443-736-4513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Salisbury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.