Provider Demographics
NPI:1497962864
Name:CONFIDENT SMILES DENTISTRY
Entity Type:Organization
Organization Name:CONFIDENT SMILES DENTISTRY
Other - Org Name:TARA J. CREAMER, D.D.S., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:CREAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-268-8701
Mailing Address - Street 1:918 CHESAPEAKE AVE
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-3132
Mailing Address - Country:US
Mailing Address - Phone:410-268-8701
Mailing Address - Fax:410-268-0403
Practice Address - Street 1:918 CHESAPEAKE AVE
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-3132
Practice Address - Country:US
Practice Address - Phone:410-268-8701
Practice Address - Fax:410-268-0403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty