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LAUREL LAKES COSMETIC DENTISTRY
NPI 1053715268
Dentist - Pediatric Dentistry in Laurel, MD

Active since October 17, 2014
13916 BALTIMORE AVE, LAUREL, MD 20707(301) 498-6511 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurel Lakes Cosmetic Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL LAKES COSMETIC DENTISTRY (NPI 1053715268) is a healthcare organization registered as a pediatric dentistry in Laurel, Maryland and active in the NPI registry since October 2014. The organization lists Michelle Stovall, Pediatric Dentistry, as its authorized official.

NPPES Registry Identity

NPI1053715268
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLAUREL PEDIATRIC DENTISTRY
Location Address13916 BALTIMORE AVELaurel, MD 20707-5009
Mailing Address13916 Baltimore AveLaurel, MD 20707-5009 · (301) 498-6511
Phone(301) 498-6511
Organization SubpartNo
Authorized OfficialMichelle StovallPediatric Dentistry · (240) 441-2193
Enumeration DateOctober 17, 2014
✔ NPI 1053715268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
13916 BALTIMORE AVE, Laurel, MD 20707
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Other Names 1

Doing Business AsLaurel Lakes Cosmetic Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAZZAQ DENTAL
Clinic/Center (Dental)
13916 BALTIMORE AVE
LAUREL, MD 20707
Prince George's County (301) 498-6511
DR. DANIEL MELNICK
Dentist (General Practice)
13916 BALTIMORE AVE
LAUREL, MD 20707
Prince George's County (301) 498-6511
DR. KELLY M BURK
Dentist (General Practice)
13916 BALTIMORE AVE
LAUREL, MD 20707
Prince George's County (301) 498-6511
LAUREL LAKES COSMETIC DENTISTRY
Dentist (General Practice)
13916 BALTIMORE AVE
LAUREL, MD 20707
Prince George's County (301) 498-6511
MAURICE SEBASTIAN MILES D.D.S
Dentist (General Practice)
13916 BALTIMORE AVE
LAUREL, MD 20707
Prince George's County (301) 498-6511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurel Pediatric Dentistry's NPI number?

The NPI number for Laurel Pediatric Dentistry is 1053715268. It was assigned to this organization in the NPPES registry on October 17, 2014. The provider is doing business as Laurel Lakes Cosmetic Dentistry.

Where is Laurel Pediatric Dentistry located?

Laurel Pediatric Dentistry is located at 13916 Baltimore Ave, Laurel, MD 20707. The listed phone number is (301) 498-6511.

What is Laurel Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Laurel Pediatric Dentistry was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.