Organization Active NPI

Severna Park Smiles LLC

  • Dental Clinic/Center
  • Severna Park, MD
National Provider Identifier
1851965057
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SEVERNA PARK SMILES LLC
Practice address
479 Jumpers Hole Rd Ste 201
Severna Park, MD 21146-1729
Phone
(410) 544-4444
Fax
(410) 544-7476
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Dr. Erin Kay Paluchowski, DDSNPI 1386951598
Title
Owner
Phone
(410) 544-4444

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

479 Jumpers Hole Rd Ste 201
Severna Park, MD 21146-1729

Mailing address

479 Jumpers Hole Rd Ste 201
Severna Park, MD 21146-1729
Phone (410) 544-4444

National Provider Directory

National Provider Directory

Locations

479 Jumpers Hole Rd
Ste 201
Severna Park, MD 21146
Phone (410) 544-4444

Practitioners & affiliated clinicians

Practitioners 2

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1851965057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD STE 201",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461729",
            "telephone_number": "410-544-4444",
            "fax_number": "410-544-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 JUMPERS HOLE RD STE 201",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461729",
            "telephone_number": "410-544-4444",
            "fax_number": "410-544-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVERNA PARK SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "PALUCHOWSKI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-544-4444",
        "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 Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.