Smile Loft - Bowie LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE LOFT - BOWIE LLC

Practice address

3233 Superior LN Ste B25B26
Bowie, MD 20715-1920

Phone

(301) 262-3535

NPI assigned

Nov 10, 2023

Organization subpart

No

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

Authorized official

Name

Christine Rai

Title

Owners Representative

Phone

(410) 610-3071

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Rex Yoon-Tae Cho, DDS

  • General Practice Dentistry
  • Bowie, MD
  • NPI 1457627838
  NPD (past)
• Kristine Eunsong Kim, DDS

  • General Practice Dentistry
  • Bowie, MD
  • NPI 1285040998
  NPD (past)

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1730953613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 DARNESTOWN RD STE L1",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 SUPERIOR LN STE B25B26",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151920",
            "telephone_number": "301-262-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LOFT - BOWIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNERS REPRESENTATIVE",
        "authorized_official_telephone_number": "410-610-3071"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepmed, Inc.
• Latoya N McQuater Sloan, LCPC, NCC
• Smart Family Services
• Angela Smart
• Veronica Dawn Smaugh, M.A., LGCPC
• Smile RX Dental
• Janine N. Smith-Marshall, M.D.
• Alton R Smith, DDS
• Brooklynne Smith
• Damonyae M Smith

• General Practice Dentistry in Bowie, MD
• Providers in Bowie, 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 Nov 10, 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.