MEDICARE: SMALL SMILES OF LANGLEY PARK, PC

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

General Provider Information

NPI Number	:	1720134745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMALL SMILES OF LANGLEY PARK, PC

Provider Business Mailing Address
First Line	:	201 W 8TH ST
Second Line	:	SUITE 810
City	:	PUEBLO
State	:	CO
Zip	:	81003-3038
Country	:	US
Telephone Number	:	719-562-4447
Fax Number	:

Provider Business Practice Location Address
First Line	:	1502 UNIVERSITY BLVD E
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-4620
Country	:	US
Telephone Number	:	301-434-5437
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR, LICENSING & CREDENTIALING
Name	:	MS. TRUDY WILLIAMS
Credential	:
Telephone Number	:	615-750-0342

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	05/17/2010

Similar Medicare Providers

1326008178 — RENAL TREATMENT CENTERS MID ATLANTIC INC
Practice Location Address:

1502 UNIVERSITY BLVD E
HYATTSVILLE, MD
20783-4620

Practice Phone: 301-408-1202
Practice Fax: 301-434-9278

1174485015 — YUKABED KELEMEWORK
Practice Location Address:

1921 SARATOGA DR
HYATTSVILLE, MD
20783-2102

Practice Phone: 240-432-1647
Practice Fax:

1205799699 — LILY HABTOM
Practice Location Address:

6475 NEW HAMPSHIRE AVE
HYATTSVILLE, MD
20783-3269

Practice Phone: 202-361-8464
Practice Fax:

1194721514 — RIGGS PEDIATRIC CENTER
Practice Location Address:

1835 UNIVERSITY BLVD E , STE 316
HYATTSVILLE, MD
20783-4672

Practice Phone: 301-434-3700
Practice Fax:

1396725750 — MRS. MARGARET L LYNCH R.D.H.
Practice Location Address:

10527 EDGEMONT DR
HYATTSVILLE, MD
20783-1114

Practice Phone: 301-431-4988
Practice Fax: 301-295-0359

1306811609 — CAROLYN HAMMET, M.D. PC
Practice Location Address:

1835 UNIVERSITY BLVD E
HYATTSVILLE, MD
20783-4600

Practice Phone: 410-848-8202
Practice Fax: 410-848-2644

Directions to “SMALL SMILES OF LANGLEY PARK, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.