Healthcare Provider Details

I. General information

NPI: 1861836900
Provider Name (Legal Business Name): TODAY'S SMILE, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 LITTLE PATUXENT PKWY, STE 310
COLUMBIA MD
21044
US

IV. Provider business mailing address

10400 LITTLE PATUXENT PKWY, STE 310
COLUMBIA MD
21044
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-8383
  • Fax: 410-997-8434
Mailing address:
  • Phone: 410-997-8383
  • Fax: 410-997-8434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number13144
License Number StateMD

VIII. Authorized Official

Name: DR. STANLEY JONGKYU PARK
Title or Position: OWNER/SOLE MEMBER
Credential: DDS
Phone: 410-997-8383