NPIMap

Organization Active NPI

SL Sample, DDS LLC

  • Dental Clinic/Center
  • Camp Springs, MD
National Provider Identifier
1770200883
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SL SAMPLE, DDS LLC
Practice address
6339 Allentown Rd
Camp Springs, MD 20748-2600
Phone
(301) 449-2800
Fax
(301) 449-2802
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Dr. Shemika L Sample, DDSNPI 1194024869
Title
Owner/DDS
Phone
(301) 449-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6339 Allentown Rd
Camp Springs, MD 20748-2600

Mailing address

6339 Allentown Rd E
Camp Springs, MD 20748-2600
Phone (301) 449-2800

National Provider Directory

National Provider Directory

Locations

6339 Allentown Rd
Temple Hills, MD 20748
Phone (301) 449-2800

6339 Allentown Rd
Ste E
Temple Hills, MD 20748
Phone (301) 449-2800

Practitioners & affiliated clinicians

Practitioners 1

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1770200883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 ALLENTOWN RD E",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207482600",
            "telephone_number": "301-449-2800",
            "fax_number": "301-449-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 ALLENTOWN RD",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207482600",
            "telephone_number": "301-449-2800",
            "fax_number": "301-449-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL SAMPLE, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "SHEMIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "301-449-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Springs, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.