Portable Smiles Mobile DMV

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PORTABLE SMILES MOBILE DMV

Practice address

127 Bookham LN
Gaithersburg, MD 20877-3787

Phone

(734) 260-2601

NPI assigned

Jun 23, 2023

Organization subpart

No

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

Authorized official

Name

Gloria Sotelo

Title

Office Manager

Phone

(313) 790-0094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1891471926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 BOOKHAM LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773787",
            "telephone_number": "734-260-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 BOOKHAM LN",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773787",
            "telephone_number": "734-260-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE SMILES MOBILE DMV",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "SOTELO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-790-0094"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Heather Pollack, D.D.S.
• Jessica Ponto Allen
• Wai H. Poon, DDS
• Kenyetta Pope
• Saidat Bamidele Popoola, RDH, B.S.
• Alexandra Portney
• Positively Inspired Counseling LLC
• Erin Potash, LCPAT, ATR-BC
• Potomac Grove Psychiatry
• Payam Pourahmad Haghighi

• General Practice Dentistry in Gaithersburg, MD
• Providers in Gaithersburg, 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 Jun 23, 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.