SCULPTED SMILES NPI 1083418438

NPI Information

  • NPI: 1083418438
  • Provider Name: SCULPTED SMILES
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 14414 OLD MILL RD # 101
    UPPER MARLBORO, MD
    ZIP 20772
  • Phone: (301) 627-6646

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NPI Details

SCULPTED SMILES is a dental clinic center in Upper Marlboro, MD. SCULPTED SMILES NPI is 1083418438. The provider is registered as an organization entity type.

The provider's business location address is:

14414 OLD MILL RD # 101
UPPER MARLBORO, MD
ZIP 20772-186
Phone: (301) 627-6646

The provider's authorized official is Oluwatobi Fatunmbi .
The authorized official title is Dentist and has the following contact phone number (202) 618-1760.

The enumeration date for this NPI number is 4/3/2025 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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