NPIMap

Organization Active NPI

Miles of Smiles Dental Associates

  • General Practice Dentistry
  • Laurel, MD
National Provider Identifier
1861669236
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12911 Issued in MD
Legal business name
MILES OF SMILES DENTAL ASSOCIATES
Practice address
14333 Laurel Bowie Rd
Suite # 307
Laurel, MD 20708-1126
Phone
(301) 317-9020
Fax
(301) 317-0282
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Sammy S Noumbissi, D.D.S., M.S.
Title
Owner
Phone
(301) 317-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 12911 MD Primary

Addresses

Primary practice location

14333 Laurel Bowie Rd
Suite # 307
Laurel, MD 20708-1126

Mailing address

14333 Laurel Bowie Rd
Suite # 307
Laurel, MD 20708-1126
Phone (301) 317-9020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1861669236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "SUITE # 307",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081126",
            "telephone_number": "301-317-9020",
            "fax_number": "301-317-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14333 LAUREL BOWIE RD",
            "address_2": "SUITE # 307",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207081126",
            "telephone_number": "301-317-9020",
            "fax_number": "301-317-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES OF SMILES DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "NOUMBISSI",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-317-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.