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SMILE LOFT BETHESDA LLC NPI 1811441108


NPI Information

NPI: 1811441108
Provider Name: SMILE LOFT BETHESDA LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7201 WISCONSIN AVE
SUITE 370
BETHESDA, MD
ZIP 20814
Phone: (301) 264-5015
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SMILE LOFT BETHESDA LLC is a general practice dentist in Bethesda, MD. The provider is 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. SMILE LOFT BETHESDA LLC NPI is 1811441108. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7201 WISCONSIN AVE
SUITE 370
BETHESDA, MD
ZIP 20814-810
Phone: (301) 264-5015
Fax: (301) 264-5014

The provider's authorized official is Vaibhav Rai .
The authorized official title is Owner and has the following contact phone number (301) 264-5015.

The enumeration date for this NPI number is 8/4/2016 and was last updated on 8/4/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice14982MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1057073700MEDICAIDMARYLAND

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: 4/28/2024

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