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ELEGANT SMILES DENTISTRY
NPI 1295279024
Clinic/Center - Dental in Upper Marlboro, MD

Active since December 13, 2016
14420 OLD MILL RD STE 101, UPPER MARLBORO, MD 20772(301) 627-6686 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 19, 2021, Dec 13, 2016 (2 updates tracked since 2016).

About Elegant Smiles Dentistry NPPES

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

ELEGANT SMILES DENTISTRY (NPI 1295279024) is a healthcare organization registered as a dental in Upper Marlboro, Maryland and active in the NPI registry since December 2016. The organization lists Dawn Berezoski, Reception/financial, as its authorized official.

NPPES Registry Identity

NPI1295279024
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePGN DENTAL LLC
Location Address14420 OLD MILL RD STE 101Upper Marlboro, MD 20772-3096
Mailing Address14420 Old Mill Rd Ste 101Upper Marlboro, MD 20772-3096 · (301) 627-6686
Phone(301) 627-6686
Organization SubpartNo
Authorized OfficialDawn BerezoskiReception/financial · (301) 627-6687
Enumeration DateDecember 13, 2016
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1295279024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 14871 (MD)
14420 OLD MILL RD STE 101, Upper Marlboro, MD 20772
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Other Names 1

Doing Business AsElegant Smiles 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 3

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

DR. LYNNETTE MYRTH CHINNERY D.D.S.
Dentist
14420 OLD MILL RD STE 101
UPPER MARLBORO, MD 20772
Prince George's County (301) 627-6686
DR. SYDNEY BENITA SOWELL D.D.S.
Dentist
14420 OLD MILL RD STE 101
UPPER MARLBORO, MD 20772
Prince George's County (301) 627-6568
DR. MARYAM NABAVI DDS
Dentist (General Practice)
14420 OLD MILL RD STE 101
UPPER MARLBORO, MD 20772
Prince George's County (301) 627-6686

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 Pgn Dental LLC's NPI number?

The NPI number for Pgn Dental LLC is 1295279024. It was assigned to this organization in the NPPES registry on December 13, 2016. The provider is doing business as Elegant Smiles Dentistry.

Where is Pgn Dental LLC located?

Pgn Dental LLC is located at 14420 Old Mill Rd Ste 101, Upper Marlboro, MD 20772. The listed phone number is (301) 627-6686.

What is Pgn Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pgn Dental LLC was last updated on August 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.