Suitland Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10897 Issued in MD

Legal business name

SUITLAND DENTAL CENTER

Practice address

4814 Silver Hill Rd
Suitland, MD 20746-1758

Phone

(301) 568-8991

NPI assigned

Jun 27, 2011

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dezrie Celestine Smith, DDS

Title

Dr./General Dentist

Phone

(301) 568-8991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1578859724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207461758",
            "telephone_number": "301-568-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207461758",
            "telephone_number": "301-568-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUITLAND DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEZRIE",
        "authorized_official_middle_name": "CELESTINE",
        "authorized_official_title_or_position": "DR./GENERAL DENTIST",
        "authorized_official_telephone_number": "301-568-8991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emonie A Staton
• Quameisha Staton
• Jacquay Myesha Stephenson, PHARM.D.
• Latrice Stewart
• Suitland Community Pharmacy (Suitland Pharmacy)
• Pim Suwannarat, MD
• TDC Multiservices LLC (TDC Nursing Services)
• Blandine Afoh Tegwi
• The Therapeutic Lounge, LLC
• Therapy Associates, LLC

• General Practice Dentistry in Suitland, MD
• Providers in Suitland, 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 Jun 27, 2011; 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.