Organization Active NPI

Smile Dental, LLC

  • Dentist
  • Baltimore, MD
National Provider Identifier
1699297838
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SMILE DENTAL, LLC
Practice address
535 Dundalk Ave Ste 2
Baltimore, MD 21224-2903
Phone
(410) 337-0046
Fax
(410) 337-0035
NPI assigned
Jul 10, 2017
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Alex Ant, DDS
Title
General Dentist
Phone
(410) 337-0005

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 11698 MD
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 11698 MD

Addresses

Primary practice location

535 Dundalk Ave Ste 2
Baltimore, MD 21224-2903

Mailing address

535 Dundalk Ave Ste 2
Baltimore, MD 21224-2903
Phone (410) 337-0046

Other practice location 1

120 Sister Pierre Dr Ste 103
Towson, MD 21204-7521
Phone (410) 337-0005

National Provider Directory

National Provider Directory

Locations

535 Dundalk Ave
Ste 2
Baltimore, MD 21224
Phone (410) 337-0046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699297838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 DUNDALK AVE STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242903",
            "telephone_number": "410-337-0046",
            "fax_number": "410-337-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 DUNDALK AVE STE 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242903",
            "telephone_number": "410-337-0046",
            "fax_number": "410-337-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Sister Pierre Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047521",
            "country_code": "US",
            "telephone_number": "410-337-0005",
            "fax_number": "410-337-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMILE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ANT",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "410-337-0005",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "11698",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "11698",
            "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 Mar 7, 2023; 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.