Silver Spring Smiles, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

14480 Issued in MD

Legal business name

SILVER SPRING SMILES, LLC

Practice address

921 Ellsworth Dr Ste B
Silver Spring, MD 20910-4478

Phone

(301) 588-5400

Fax

(301) 588-6454

NPI assigned

Sep 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Ayana Dufera, DDSNPI 1548570674

Title

Owner

Phone

(301) 588-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Ayana Dufera, D.D.S.

  • Dentist
  • Silver Spring, MD
  • NPI 1548570674
  NPD (past) Authorized official

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1619347176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 ELLSWORTH DR STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104478",
            "telephone_number": "301-588-5400",
            "fax_number": "301-588-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 ELLSWORTH DR STE B",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104478",
            "telephone_number": "301-588-5400",
            "fax_number": "301-588-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPRING SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "DUFERA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "AYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-588-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071632400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Silver Spring Opco LLC
• Silver Spring Ophthalmology, LLC
• Silver Spring Optometry, LLC
• Silver Spring Pediatrics, LLC
• Silver Spring Physical Therapy Center, LLC
• Silver Spring Surgery Center, LLC
• Silver Springhouse
• Harold Martin Silverman, PHARM.D.
• Charlotte Sima Ondo Mabengha
• Orit Simhoni, PH.D., OTR/L

• Dental Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.