| Silver Spring Smiles, Llc | |
|
921 Ellsworth Dr Ste B Silver Spring MD 20910-4478 | |
| (301) 588-5400 | |
| (301) 588-6454 |
| Full Name | Silver Spring Smiles, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 921 Ellsworth Dr Ste B, Silver Spring, Maryland |
| Authorized Official Name and Position | Daniel Ayana Dufera (OWNER) |
| Authorized Official Contact | 3015885400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Spring Smiles, Llc 921 Ellsworth Dr Ste B Silver Spring MD 20910-4478 Ph: (301) 588-5400 | Silver Spring Smiles, Llc 921 Ellsworth Dr Ste B Silver Spring MD 20910-4478 Ph: (301) 588-5400 |
| NPI Number | 1619347176 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 09/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619347176 | NPI | - | NPPES |
| 071632400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14480 (Maryland) | Primary |
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