MEDICARE: NUSMILES ORTHODONTICS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number	:	1346752409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUSMILES ORTHODONTICS

Provider Business Mailing Address
First Line	:	5900 WATERLOO RD STE 220
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2638
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5900 WATERLOO RD STE 220
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2638
Country	:	US
Telephone Number	:	410-630-8189
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIC WU
Credential	:	DDS
Telephone Number	:	410-630-8189

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	10/30/2017

Similar Medicare Providers

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1154612075 — MARGARET HEQIAO WANG M.D.
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1366889479 — ERIC J WU DDS
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1134856461 — MD SPECIALTY DENTAL SERVICES, LLC
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1902646722 — MD SPECIALTY DENTAL SERVICES, LLC
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1649088063 — UNIVERSITY OF MARYLAND EYE ASSOCIATES, P.A.
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Directions to “NUSMILES ORTHODONTICS ” Practice Location

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