Cedar Smiles Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CEDAR SMILES DENTAL, LLC

Practice address

10910 Little Patuxent Parkway
Suite 206
Columbia, MD 21044

Phone

(443) 722-9371

NPI assigned

Sep 20, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oqba Tujjar, DMD

Title

Owner

Phone

(443) 722-9371

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1720562192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 LITTLE PATUXENT PARKWAY",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "443-722-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 LITTLE PATUXENT PARKWAY",
            "address_2": "SUITE 206",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21044",
            "telephone_number": "443-722-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SMILES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "TUJJAR",
        "authorized_official_first_name": "OQBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-722-9371",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039661300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Columbia, MD
• Providers in Columbia, 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 20, 2018; 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.