Severn Pediatric Dentistry

LBN: Super Kids Teeth Llc
Severn Pediatric Dentistry is an health care organization with primary practice located at 2288 Blue Water Blvd Ste 328 , Odenton MD 21113-3309. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Super Kids Teeth Llc can be contacted via phone (410) 995-8000, or through Mon, Soe T via phone (410) 995-8000.

Contact Information

Primary practice address
2288 Blue Water Blvd Ste 328 Odenton MD 21113-3309
Phone: (410) 995-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mon, Soe T
Phone: (410) 995-8000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1376065193
LBN Legal business name Super Kids Teeth Llc
DBA Doing business as Severn Pediatric Dentistry
Authorized official Mon, Soe T
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2017
Last updated Jul 21st, 2022 - about 3 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 1376065193 NPPES
Maryland MEDICAID 59291

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