Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DENTAL GALLERIA OF BEAUTIFUL SMILES PC
Active
Organization
DENTAL GALLERIA OF BEAUTIFUL SMILES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNETTE BROCK DDS (PRESIDENT)
(301) 588-3083
Entity
Organization
Contact information
Practice address
8737 COLESVILLE RD, SUITE LL105, SILVER SPRING, MD 20910-3928
(301) 588-3083
(301) 588-3084
Mailing address
8737 COLESVILLE RD, SUITE LL105, SILVER SPRING, MD 20910-3928
(301) 588-3083
(301) 588-3084
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12758
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011819200
—
MD
05
—
039279700
—
DC
Enumeration date
04/08/2008
Last updated
04/08/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers