SIMPLE MIRACLES DENTISTRY, LLC
NPI 1952189136
Dentist - General Practice in Bowie, MD

Active since September 19, 2023
16900 SCIENCE DR STE 110, BOWIE, MD 20715(301) 383-0958(240) 487-5161 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simple Miracles Dentistry, Llc NPPES

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

SIMPLE MIRACLES DENTISTRY, LLC (NPI 1952189136) is a healthcare organization registered as a general practice in Bowie, Maryland and active in the NPI registry since September 2023. The organization lists Shana A Dicks, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1952189136
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSIMPLE MIRACLES DENTISTRY, LLC
Location Address16900 SCIENCE DR STE 110Bowie, MD 20715-4465
Mailing Address16900 Science Dr Ste 110Bowie, MD 20715-4465 · (301) 383-0958 · Fax (240) 487-5161
Fax(240) 487-5161
Organization SubpartNo
Authorized OfficialShana A DicksGeneral Dentist · (301) 383-0958
Enumeration DateSeptember 19, 2023
Last NPPES UpdateDecember 11, 2023
NPPES CertifiedDecember 11, 2023
NPI 1952189136 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.
16900 SCIENCE DR STE 110, Bowie, MD 20715

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

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

Dentist
16900 SCIENCE DR STE 110
BOWIE, MD 20715

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 Simple Miracles Dentistry, LLC's NPI number?

The NPI number for Simple Miracles Dentistry, LLC is 1952189136. It was assigned to this organization in the NPPES registry on September 19, 2023.

Where is Simple Miracles Dentistry, LLC located?

Simple Miracles Dentistry, LLC is located at 16900 Science Dr Ste 110, Bowie, MD 20715. The listed phone number is (301) 383-0958.

What is Simple Miracles Dentistry, LLC'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 Simple Miracles Dentistry, LLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.