NPIMap

Organization Active NPI

Jennilyn a Estell DMD PLLC

  • General Practice Dentistry
  • Silver Spring, MD
National Provider Identifier
1972050490
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15668 Issued in MD
Legal business name
JENNILYN A ESTELL DMD PLLC
Practice address
923 Bonifant Street
Silver Spring, MD 20910
Phone
(301) 565-8889
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Jennilyn Estell, DMD
Title
Manager
Phone
(904) 704-0867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15668 MD Primary

Addresses

Primary practice location

923 Bonifant Street
Silver Spring, MD 20910

Mailing address

923 Bonifant Street
Silver Spring, MD 20910
Phone (301) 565-8889

Other names 1

  • Sunshine Smiles Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

923 Bonifant St
Silver Spring, MD 20910
Phone (301) 565-8889

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": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1972050490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 BONIFANT STREET",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-565-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 BONIFANT STREET",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "301-565-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNILYN A ESTELL DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "ESTELL",
        "authorized_official_first_name": "JENNILYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-704-0867",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Smiles Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.