Provider Demographics
NPI:1982095899
Name:HEALTHY SMILES INC.
Entity Type:Organization
Organization Name:HEALTHY SMILES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ZARIF
Authorized Official - Last Name:SALMASSI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-796-7371
Mailing Address - Street 1:7310 ESQUIRE CT
Mailing Address - Street 2:SUITE #4
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-5440
Mailing Address - Country:US
Mailing Address - Phone:410-796-7371
Mailing Address - Fax:
Practice Address - Street 1:7310 ESQUIRE CT
Practice Address - Street 2:SUITE #4
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-5440
Practice Address - Country:US
Practice Address - Phone:410-796-7371
Practice Address - Fax:410-796-7393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14100122300000X
MD14171122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty