MEDICARE: CONFIDENT SMILES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	15394	MD

General Provider Information

NPI Number	:	1265804306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFIDENT SMILES, LLC

Provider Business Mailing Address
First Line	:	7511 NEW HAMPSHIRE AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6969
Country	:	US
Telephone Number	:	516-557-6479
Fax Number	:

Provider Business Practice Location Address
First Line	:	7511 NEW HAMPSHIRE AVE
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6969
Country	:	US
Telephone Number	:	301-431-6883
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. QASIYM GILLIAM
Credential	:	DDS
Telephone Number	:	301-431-6883

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	05/22/2025

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Directions to “CONFIDENT SMILES, LLC ” Practice Location

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