Simple Miracles Dentistry, LLC

General Practice Dentistry · Bowie, MD

Organization Active NPI

NPI number 1952189136

Practice location

16900 Science Dr Ste 110
Bowie, MD 20715-4465
Phone
(301) 383-0958
Fax
(240) 487-5161

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NPI record

NPI
1952189136
Entity type
Organization (Type 2)
Enumeration date
September 19, 2023
Last updated
December 11, 2023
Certified
December 11, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Dr. Shana A Dicks
Title
General Dentist
Phone
(301) 383-0958

About Simple Miracles Dentistry, LLC

Simple Miracles Dentistry, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 16900 Science Dr Ste 110, Bowie, MD 20715-4465. The NPI number 1952189136 was assigned on September 19, 2023 and the record was last updated on December 11, 2023.

The authorized official for this organization is Dr. Shana A Dicks, General Dentist.

Frequently asked questions

What is the NPI number of Simple Miracles Dentistry, LLC?

The NPI number is 1952189136.

What is the phone number of Simple Miracles Dentistry, LLC?

The phone number listed for the practice location is (301) 383-0958.

Where is Simple Miracles Dentistry, LLC located?

16900 Science Dr Ste 110, Bowie, MD 20715-4465.

What is the taxonomy code for Simple Miracles Dentistry, LLC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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