North Potomac Smiles LLC

Primary specialty

DentistTaxonomy code 122300000X

License

12958 Issued in MD

Legal business name

NORTH POTOMAC SMILES LLC

Practice address

11906 Darnestown Rd
Suite D
North Potomac, MD 20878-2200

Phone

(301) 926-4408

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nadim Elie Kodsi, D.D.S.

Title

Sole Proprietor

Phone

(301) 926-4408

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881899045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11906 DARNESTOWN RD",
            "address_2": "SUITE D",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782200",
            "telephone_number": "301-926-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11906 DARNESTOWN RD",
            "address_2": "SUITE D",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782200",
            "telephone_number": "301-926-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POTOMAC SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KODSI",
        "authorized_official_first_name": "NADIM",
        "authorized_official_middle_name": "ELIE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-926-4408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MD",
            "license": "12958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in North Potomac, MD
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• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.