Organization
MD SPECIALTY DENTAL SERVICES, LLC
Active
Parent organization
MD SPECIALTY DENTAL SERVICES, LLC
Other names
NuSmiles Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD SPECIALTY DENTAL SERVICES, LLC
Authorized official
CHARLOTTE DASCH (DIREC OF CRED AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
5900 WATERLOO RD STE 220, COLUMBIA, MD 21045-2638
(410) 630-8189
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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