Michael Owens DDS of Waldorf LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MICHAEL OWENS DDS OF WALDORF LLC

Doing business as

Vibrant Smiles of Waldorf

Practice address

152A Post Office Rd
Waldorf, MD 20602-2711

Phone

(301) 645-5182

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Julian R King

Title

Administrator

Phone

(301) 645-5182

Specialties & licenses 1

Addresses

Other names 1

• Vibrant Smiles of Waldorf Doing business as

Locations

Practitioners 1

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

• Todd C Clarkson, DDS

  • General Practice Dentistry
  • South Boston, VA
  • NPI 1568774511
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1821417700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152A POST OFFICE RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022711",
            "telephone_number": "301-645-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152A POST OFFICE RD",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022711",
            "telephone_number": "301-645-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL OWENS DDS OF WALDORF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-645-5182"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Smiles of Waldorf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MHC Orthotics and Prosthetics LLC
• Michael E Pearlman D.P.M., P.a.
• Michael H Hotchkiss, M.D., P.a.
• Michael J Kuhn DDS PC
• Michael K Greenberg,MD,PC
• Christine Micknick, M.A., CCC-SLP
• Mid Atlantic Medical Management , LLC
• Mid Atlantic Skin Surgery Institute
• Teaira Geneva Milburn
• Caitlyn Marie Miller, PTA

• General Practice Dentistry in Waldorf, MD
• Providers in Waldorf, 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 Apr 8, 2014; 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.