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OXON HILL SMILES YOUTH DENTISTRY, PC
NPI 1861685554
Dentist - General Practice in Oxon Hill, MD

Active since August 25, 2007
30 AUDREY LN, SUITE A, OXON HILL, MD 20745(301) 567-5437(301) 567-5456 Get Directions Write a Review

NPPES record last updated: July 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oxon Hill Smiles Youth Dentistry, Pc NPPES

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

OXON HILL SMILES YOUTH DENTISTRY, PC (NPI 1861685554) is a healthcare organization registered as a general practice in Oxon Hill, Maryland and active in the NPI registry since August 2007. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1861685554
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOXON HILL SMILES YOUTH DENTISTRY, PC
Location Address30 AUDREY LN, SUITE AOxon Hill, MD 20745-1301
Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705
Phone(301) 567-5437
Fax(301) 567-5456
Organization SubpartNo
Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343
Enumeration DateAugust 25, 2007
Last NPPES UpdateJuly 9, 2014
✔ NPI 1861685554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
30 AUDREY LN, Oxon Hill, MD 20745
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Other Identifiers 2

Medicaid038809900DC
Medicaid413913500MD

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.

DR. JEANNETTE E SUH DMD
Dentist (General Practice)
30 AUDREY LN, SUITE A
OXON HILL, MD 20745
Prince George's County (301) 567-5437
DAWN TYLER DDS
Dentist (General Practice)
30 AUDREY LN
OXON HILL, MD 20745
Prince George's County (301) 567-5437
ANH THI QUYNH TRUONG
Dentist
30 AUDREY LN
OXON HILL, MD 20745
Prince George's County (301) 567-5437
DR. MEDIAN ABRAHA DDS
Dentist
30 AUDREY LN
OXON HILL, MD 20745
Prince George's County (240) 210-2629
DR. AKENDRA S JOHNSON DDS
Dentist (General Practice)
30 AUDREY LN
OXON HILL, MD 20745
Prince George's County (301) 567-5437

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 Oxon Hill Smiles Youth Dentistry, PC's NPI number?

The NPI number for Oxon Hill Smiles Youth Dentistry, PC is 1861685554. It was assigned to this organization in the NPPES registry on August 25, 2007.

Where is Oxon Hill Smiles Youth Dentistry, PC located?

Oxon Hill Smiles Youth Dentistry, PC is located at 30 Audrey Ln Suite A, Oxon Hill, MD 20745. The listed phone number is (301) 567-5437.

What is Oxon Hill Smiles Youth Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Oxon Hill Smiles Youth Dentistry, PC was last updated on July 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.