Greenbelt Smiles, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12200 Issued in MD

Legal business name

GREENBELT SMILES, LLC

Practice address

7221 Hanover Pkwy Ste a
Greenbelt, MD 20770-2022

Phone

(301) 345-2222

Fax

(301) 345-1682

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Martha Bustillo, D.M.D.NPI 1265634133

Title

DMD

Phone

(301) 345-2222

Specialties & licenses 1

Addresses

Other names 1

• Martha Bustillo, D.M.D. Former legal business name

Locations

Practitioners 2

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

• Martha Bustillo, DMD

  • General Practice Dentistry
  • Greenbelt, MD
  • NPI 1265634133
  NPD (past) Authorized official
• Ashley Renee Brown, D.D.S.

  • Dentist
  • Marriottsville, MD
  • NPI 1740550649
  NPD (past)

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1699030478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702022",
            "telephone_number": "301-345-2222",
            "fax_number": "301-345-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 HANOVER PKWY STE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702022",
            "telephone_number": "301-345-2222",
            "fax_number": "301-345-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT SMILES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "BUSTILLO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "301-345-2222",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha Bustillo, D.M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Greenbelt Radiation Oncology Associates, LLC
• Greenbelt Radiation Oncology Center
• Greenbelt Rehab
• Greenbelt Urology Institute LLC
• Greenbelt Volunteer Fire Department
• Greenbeltdentalcare (Greebbeltdentalcare)
• Elana Greene, LCPC
• Monica Lynne Greene, PHD

• General Practice Dentistry in Greenbelt, MD
• Providers in Greenbelt, 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 Sep 26, 2016; 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.