SMILE FREDERICK LLC (NPI# 1407294788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407294788 |
| Entity Type | Organization |
| Organization Name | SMILE FREDERICK LLC |
| Other Organization Name | SMILE FREDERICK ORTHODONTICS |
| Practice Address |
7360 Guilford Dr Frederick MD 21704-5124 |
| Practice Telephone | 3016682662 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | ROBERT MANSMAN (OWNER DOCTOR) |
| Authorized Official Telephone | 3016682662 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile Frederick Orthodontics | Doing Business As Name - Organization |
| Street Address |
7360 GUILFORD DR |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114094398 | Pediatric Dental Center of Frederick, LLC | Dentist | 7360 Guilford Dr, 102, Frederick, MD 21704-5124 | 2006-11-30 |
| 1003259631 | Jim Ming-an Lee | Dentist | 7360 Guilford Dr, Ste #102, Frederick, MD 21704-5124 | 2013-04-13 |
| 1669610515 | Robert G. Ray, Dmd PC | Dentist | 7360 Guilford Dr, #102, Frederick, MD 21704-5124 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245716232 | Tj Orthodontics | Dentist | 198 Thomas Johnson Dr Ste 103, Frederick, MD 21702-4432 | 2018-07-13 |
| 1114388469 | Stanley Jay Robison | Dentist | 2090 Old Farm Dr Ste F, Frederick, MD 21702-5404 | 2016-03-15 |
| 1891948709 | Rosanne M. Bloom | Dentist | 130 Thomas Johnson Dr., Suite 2, Frederick, MD 21702-4582 | 2008-10-23 |
| 1770707390 | Robert Cina | Dentist | 100 Tuscanny Dr, Suite D, Frederick, MD 21702-5958 | 2007-04-13 |
| 1225155583 | Jon Arthur Moles | Dentist | 3549 Urbana Pike, Frederick, MD 21704-7741 | 2007-03-23 |
| 1912039769 | Christopher Joseph Mctavish | Dentist | 3500 Campus Dr, Suite 104, Frederick, MD 21704-7922 | 2007-03-09 |
| 1427102961 | Bloom & Reddy Dds PC | Dentist | 130 Thomas Johnson Drive, Suite 2, Frederick, MD 21702-4582 | 2007-01-22 |
| 1164509022 | Charles Jeffrey Bowman | Dentist | 10 W College Ter, Suite 240, Frederick, MD 21701-4909 | 2006-10-31 |
| 1962519090 | Lobat Zainali | Dentist | 490 Prospect Blvd., Suite#c, Frederick, MD 21701 | 2006-08-24 |
| 1952312209 | Jerrold J. Pollack,d.d.s.,p.a | Dentist | 1133 Keswick Pl, Frederick, MD 21703-6168 | 2006-08-11 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.