Healthcare Provider Details

I. General information

NPI: 1376450056
Provider Name (Legal Business Name): PRETTY PEARLS PEDIATRIC DENTISTRY AND ORTHODONTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 ANNAPOLIS RD UNIT A-1
GLENN DALE MD
20769-9179
US

IV. Provider business mailing address

229 WASHINGTON BLVD S
LAUREL MD
20707-4615
US

V. Phone/Fax

Practice location:
  • Phone: 240-602-6145
  • Fax:
Mailing address:
  • Phone: 240-602-6145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTINE OLADAYO OLADIPO
Title or Position: OWNER/FOUNDER/CEO
Credential: DDS, MS,FICD
Phone: 240-602-6145