SUPER SMILE CENTER OF BETHESDA (NPI# 1972135291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972135291 |
| Entity Type | Organization |
| Organization Name | SUPER SMILE CENTER OF BETHESDA |
| Practice Address |
10320 Westlake Dr., Suite# 109 Bethesda MD 20817 |
| Practice Telephone | 3014694775 |
| Practice Fax Number | 3014694776 |
| Mailing Telephone | 3014694775 |
| Mailing Fax Number | 3014694776 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | AMISHA SHROFF (DENTIST) |
| Authorized Official Telephone | 3014694775 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669824082 | Super Smile Center of Bethesda | Dentist | 10320 Westlake Dr, 109, Bethesda, MD 20817-6448 | 2016-07-09 |
| Street Address |
10320 WESTLAKE DR., SUITE# 109 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659918175 | Morgan Cheatham | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd, Suite 300, Bethesda, MD 20817 | 2019-12-03 |
| 1780233601 | Natalie Milazzo | Behavior Technician | Attattn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-09-04 |
| 1366090649 | Sarah Danko | Behavior Technician | Attn: Behavioral Health Works 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-29 |
| 1679120760 | Markita Mccurdy | Behavior Technician | 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817 | 2019-08-22 |
| 1548716277 | Roberta Glass | Psychiatry & Neurology | 9806 Marquette Dr., Bethesda, MD 20817 | 2016-09-01 |
| 1952725525 | Jenna Kuhn | Student in an Organized Health Care Education/Training Program | 6701 Democracy Blvd. Attn: Behavioral Health Works, Suite 300, Bethesda, MD 20817 | 2014-02-18 |
| 1912338088 | Nayereh Nina Ghamarian | Dentist | 6017 Bradley Blvd, Bethesda, MD 20817 | 2013-11-27 |
| 1386076495 | Hugo Galindo | Physical Therapist | 6410 Rockledge Drive, Suite 100, Nrh Rehabilitation Network Bethesda, Bethesda, MD 20817 | 2013-07-31 |
| 1538509260 | Anameti Usoro | Anesthesiology | 6430 Rockledge Dr Ste 160, Bethesda, MD 20817 | 2013-06-26 |
| 1578909081 | David Nesaraja Ratnavale | Psychiatry & Neurology | 6528 Lone Oak Drive, Bethesda, MD 20817 | 2013-05-13 |
| Find all providers in zip 20817 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518516194 | Drake Winslow Williams | Dentist | 10 Center Dr Rm 1b01, Bethesda, MD 20892-0001 | 2019-09-06 |
| 1003388612 | Marie Kao-hsieh | Dentist | 10 Center Dr Room 1n117a, Bethesda, MD 20892-0001 | 2018-12-20 |
| 1689160921 | Peter Joung Hoon Lee | Dentist | 8901 Wisconsin Ave Fl 2, Bethesda, MD 20889-0004 | 2018-07-10 |
| 1942619457 | Pamela Gardner | Dentist | Nih Nidcr Dental Clinic, 10 Center Drive, 10/1n117, Bethesda, MD 20892-0001 | 2014-08-08 |
| 1164843785 | Jonathan A Morris Dds, PC | Dentist | 8218 Wisconsin Ave Ste 404, Bethesda, MD 20814-3107 | 2013-12-27 |
| 1427480151 | William Sidney Blackmore | Dentist | 9222 E Parkhill Dr, Bethesda, MD 20814-3949 | 2013-08-05 |
| 1538509393 | Christopher Joseph Puglisi | Dentist | 2 Ardmore Ct, Bethesda, MD 20816-2015 | 2013-06-26 |
| 1578844965 | Michael Bradford Harper | Dentist | Walter Reed Natl Military Ctr, Bldg # 17 Room # 3140, Bethesda, MD 20889-5600 | 2011-08-30 |
| 1669760195 | Divine Smiles Dentistry | Dentist | 8001 Wisconsin Ave, Suite 103, Bethesda, MD 20814-3602 | 2011-07-19 |
| 1356652739 | Mohammad Moaddab | Dentist | 5905 Ipswich Rd, Bethesda, MD 20814-1809 | 2010-06-30 |
| Find all providers in BETHESDA | ||||
Please comment or provide details below to improve the information on SUPER SMILE CENTER OF BETHESDA.
| 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.