NPIMap

Organization Active NPI

Esthetic Smile LLC

  • Dentist
  • Rockville, MD
National Provider Identifier
1932070943
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ESTHETIC SMILE LLC
Practice address
50 W Edmonston Dr Ste 605
Rockville, MD 20852-1254
Phone
(301) 762-5552
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Dr. Iria Ondo Bengone, DDSNPI 1366054223
Title
Owner
Phone
(301) 762-5552

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

50 W Edmonston Dr Ste 605
Rockville, MD 20852-1254

Mailing address

50 W Edmonston Dr Ste 605
Rockville, MD 20852-1254
Phone (301) 762-5552

National Provider Directory

National Provider Directory

Locations

50 W Edmonston Dr
Ste 605
Rockville, MD 20852
Phone (301) 762-2255

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1932070943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 605",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521254",
            "telephone_number": "301-762-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR STE 605",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521254",
            "telephone_number": "301-762-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETIC SMILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "ONDO BENGONE",
        "authorized_official_first_name": "IRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-762-5552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.