Smile Loft Glen Burnie Llc

LBN: Smile Loft Glen Burnie Llc
Smile Loft Glen Burnie Llc is an health care organization with primary practice located at 325 Hospital Dr Ste 101 , Glen Burnie MD 21061-5806. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smile Loft Glen Burnie Llc can be contacted via phone (410) 768-4488, or through Rai, Christine via phone (410) 610-3071.

Contact Information

Primary practice address
325 Hospital Dr Ste 101 Glen Burnie MD 21061-5806
Phone: (410) 768-4488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rai, Christine
Phone: (410) 610-3071

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1568072825
LBN Legal business name Smile Loft Glen Burnie Llc
DBA Doing business as
Authorized official Rai, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2020
Last updated Aug 3rd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568072825 NPPES
Maryland MEDICAID 046068200
Maryland MEDICAID 057073700

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