MEDICARE: CONFIDENT SMILES DENTISTRY

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	13373	MD

General Provider Information

NPI Number	:	1497962864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONFIDENT SMILES DENTISTRY

Provider Business Mailing Address
First Line	:	918 CHESAPEAKE AVE
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21403-3132
Country	:	US
Telephone Number	:	410-268-8701
Fax Number	:	410-268-0403

Provider Business Practice Location Address
First Line	:	918 CHESAPEAKE AVE
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21403-3132
Country	:	US
Telephone Number	:	410-268-8701
Fax Number	:	410-268-0403

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TARA J CREAMER
Credential	:	DDS
Telephone Number	:	410-268-8701

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/22/2020

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Directions to “CONFIDENT SMILES DENTISTRY ” Practice Location

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