Organization Active NPI

Smile Solutions of Baltimore

  • General Practice Dentistry
  • Baltimore, MD
National Provider Identifier
1699260968
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE SOLUTIONS OF BALTIMORE
Practice address
6601 York Rd
Baltimore, MD 21212-2032
Phone
(410) 377-2000
Fax
(410) 377-2145
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Michael Fenlon
Title
Business Manager
Phone
(410) 377-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X 14912 MD

Addresses

Primary practice location

6601 York Rd
Baltimore, MD 21212-2032

Mailing address

6601 York Rd
Baltimore, MD 21212-2032
Phone (410) 377-2000

National Provider Directory

National Provider Directory

Locations

6601 York Rd
Baltimore, MD 21212
Phone (410) 377-2000

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1699260968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122032",
            "telephone_number": "410-377-2000",
            "fax_number": "410-377-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122032",
            "telephone_number": "410-377-2000",
            "fax_number": "410-377-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SOLUTIONS OF BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "FENLON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "410-377-2000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "14912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.