Elegant Smiles Dentistry

LBN: Pgn Dental Llc
Elegant Smiles Dentistry is an health care organization with primary practice located at 14420 Old Mill Rd Ste 101 , Upper Marlboro MD 20772-3096. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Pgn Dental Llc can be contacted via phone (301) 627-6686, or through Berezoski, Dawn via phone (301) 627-6687.

Contact Information

Primary practice address
14420 Old Mill Rd Ste 101 Upper Marlboro MD 20772-3096
Phone: (301) 627-6686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berezoski, Dawn
Phone: (301) 627-6687

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 14871 Maryland
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1295279024
LBN Legal business name Pgn Dental Llc
DBA Doing business as Elegant Smiles Dentistry
Authorized official Berezoski, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2016
Last updated Aug 19th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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