Provider Demographics
NPI:1861836900
Name:TODAY'S SMILE, LLC
Entity Type:Organization
Organization Name:TODAY'S SMILE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-997-8383
Mailing Address - Street 1:10025 GOVERNOR WARFIELD PKWY STE 218
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3336
Mailing Address - Country:US
Mailing Address - Phone:410-997-8383
Mailing Address - Fax:410-997-8434
Practice Address - Street 1:10025 GOVERNOR WARFIELD PKWY STE 218
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3336
Practice Address - Country:US
Practice Address - Phone:410-997-8383
Practice Address - Fax:410-997-8434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13144261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental