Organization Active NPI

Summit Dental Smile LLC

  • Dentist
  • Mount Airy, MD
National Provider Identifier
1902776305
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUMMIT DENTAL SMILE LLC
Practice address
301 Watersville Rd
Mount Airy, MD 21771-5868
Phone
(301) 829-2211
NPI assigned
Nov 10, 2025
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Alireza Rajaei, DDS
Title
Owner
Phone
(617) 599-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

301 Watersville Rd
Mount Airy, MD 21771-5868

Mailing address

301 Watersville Rd
Mount Airy, MD 21771-5868
Phone (301) 829-2211

National Provider Directory

National Provider Directory

Locations

301 Watersville Rd
Mount Airy, MD 21771
Phone (301) 829-1032

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": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1902776305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WATERSVILLE RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715868",
            "telephone_number": "301-829-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WATERSVILLE RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715868",
            "telephone_number": "301-829-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DENTAL SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "RAJAEI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-599-0599",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.