Jet Dental of Maryland, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JET DENTAL OF MARYLAND, LLC

Practice address

9141 Alaking CT Ste 107a
Capitol Heights, MD 20743-5049

Phone

(801) 430-9262

NPI assigned

Oct 2, 2025

Organization subpart

Yes

Parent organization

JET MANAGEMENT SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Stephanie Harding

Title

Owner

Phone

(615) 347-4640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1477427300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9141 ALAKING CT STE 107A",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9141 ALAKING CT STE 107A",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207435049",
            "telephone_number": "801-430-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JET DENTAL OF MARYLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JET MANAGEMENT SERVICES, LLC",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "HARDING",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-347-4640"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronell Jackson
• Cynthia James
• Jasmine Jarrett
• Jay Bee Medical
• Katherine Antoinette Jenkins
• Orimashe Abdulsalam Jimoh
• Cynthia Diane Johnson
• Icealleanna Johnson
• Ineisha L Johnson
• Jesse F Johnson

• General Practice Dentistry in Capitol Heights, MD
• Providers in Capitol Heights, 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 Oct 2, 2025; 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.