SMILE CASTLE PEDIATRIC DENTISTRY, LLC (NPI# 1841720497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841720497 |
| Entity Type | Organization |
| Organization Name | SMILE CASTLE PEDIATRIC DENTISTRY, LLC |
| Practice Address |
23076 Three Notch Rd Ste 203 California MD 20619-2442 |
| Practice Telephone | (240) 349-5000 |
| Practice Fax Number | 2403495002 |
| Mailing Telephone | 2403495000 |
| Mailing Fax Number | 2403495002 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | DR. EUN SUN HWANG (OWNER DOCTOR) |
| Authorized Official Telephone | 2403495000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
14615 | MD | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NPI | 1114226784 | 01 |
| Street Address |
23076 THREE NOTCH RD STE 203 |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518287507 | Pedro Mario Alvarez IIi | Dentist | 23076 Three Notch Rd Ste 203, California, MD 20619-2442 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295385698 | Just 4 Kidz Dentistry, LLC | Dentist | 12250 Rockville Pike Ste 200, Rockville, MD 20852-1669 | 2019-09-17 |
| 1033761960 | Caroline Larosiliere Dds and Associates | Dentist | 10605 Greenbelt Rd, Lanham, MD 20706-2274 | 2019-07-11 |
| 1720562507 | Arundel Pediatric Dental Care | Dentist | 8531 Veterans Hwy Ste 103, Millersville, MD 21108-2653 | 2018-09-18 |
| 1083192884 | Chang & Phan Dental, LLC | Dentist | 451 Hungerford Dr Ste 100, Rockville, MD 20850-5102 | 2018-08-02 |
| 1710473731 | Marlborough Village Pediatric Dental | Dentist | 5098 Brown Station Rd Ste 260, Upper Marlboro, MD 20772-9124 | 2018-07-02 |
| 1184116618 | Kiddie Cavity Care Thmd, LLC | Dentist | 3743 Branch Ave Ste A, Temple Hills, MD 20748-1408 | 2018-05-31 |
| 1851881999 | Haider Alshami | Dentist | 650 W Baltimore St, Baltimore, Md 21201, 3rd Flood, Baltimore, MD 21286 | 2018-05-15 |
| 1306335468 | Adam Elrafei | Dentist | 2 Hamill Rd Ste 266, Baltimore, MD 21210-1894 | 2018-05-04 |
| 1285121137 | Zamora Kids Dentistry, P.a. | Dentist | 1350 Blair Dr Ste I, Odenton, MD 21113-1333 | 2018-04-17 |
| 1336659721 | Tyson Bross Dmd Phd LLC | Dentist | 129 Lubrano Dr Ste 300, Annapolis, MD 21401-7568 | 2017-10-11 |
| Find all providers with the same taxonomy | ||||
| City | CALIFORNIA |
| Zip Code | 20619 |
Please comment or provide details below to improve the information on SMILE CASTLE PEDIATRIC DENTISTRY, LLC.
| 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.