Organization Active NPI

Smile Loft Landover Dental LLC

  • Dentist
  • Landover Hills, MD
National Provider Identifier
1659966836
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE LOFT LANDOVER DENTAL LLC
Practice address
7101 Annapolis Rd
Landover Hills, MD 20784-2129
Phone
(301) 577-6333
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Vaibhav Rai, DDS
Title
Owner
Phone
(301) 577-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7101 Annapolis Rd
Landover Hills, MD 20784-2129

Mailing address

7101 Annapolis Rd
Landover Hills, MD 20784-2129
Phone (301) 577-6333

Other identifiers 1

IdentifierTypeStateIssuer
046068200MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1659966836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 ANNAPOLIS RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842129",
            "telephone_number": "301-577-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 ANNAPOLIS RD",
            "city": "LANDOVER HILLS",
            "state": "MD",
            "postal_code": "207842129",
            "telephone_number": "301-577-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LOFT LANDOVER DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "VAIBHAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-577-6333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046068200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.