SEVERNA PARK SMILES LLC
NPI 1851965057
Clinic/Center - Dental in Severna Park, MD
- Organization
- Clinic/Center
- Dental
- CLIA Number: 21D2070826
- CLIA Cert. Type: Other - NONPROFIT MEDICAL CLINIC
- CLIA Exp. Date: 12-25-2027
About SEVERNA PARK SMILES LLC
This page provides the complete NPI Profile along with additional information for Severna Park Smiles Llc, a provider established in Severna Park, Maryland operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1851965057 assigned on May 2021. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Erin Kay Paluchowski Dds (Owner)
- NPI
- 1851965057 Verify this NPI
- Provider Name
- SEVERNA PARK SMILES LLC
- Entity Type
- Organization
- Location Address
- 479 JUMPERS HOLE RD STE 201 SEVERNA PARK, MD 21146
- Location Phone
- (410) 544-4444
- Location Fax
- (410) 544-7476
- Mailing Address
- 479 JUMPERS HOLE RD STE 201 SEVERNA PARK, MD 21146
- Mailing Phone
- (410) 544-4444
- Mailing Fax
- (410) 544-7476
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2021
- Last Update Date
- 05-13-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2070826
- Facility Type
- Other - NONPROFIT MEDICAL CLINIC
- Certificate Effective Date
- December 26, 2025
- Certificate Expiration Date
- December 25, 2027
- Laboratory Director
- CLIFTON A. MCCLAIN III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Severna Park Smiles Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851965057, enumerated as an "organization" on May 13, 2021.
The provider is located at 479 JUMPERS HOLE RD STE 201 SEVERNA PARK, MD 21146 and the phone number is (410) 544-4444.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
