Provider Demographics
NPI:1902156953
Name:SMILE SISTERS, LLC
Entity Type:Organization
Organization Name:SMILE SISTERS, LLC
Other - Org Name:BAKER SISTERS FAMILY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-768-7740
Mailing Address - Street 1:8025 RITCHIE HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1031
Mailing Address - Country:US
Mailing Address - Phone:410-768-7740
Mailing Address - Fax:410-768-1528
Practice Address - Street 1:8025 RITCHIE HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1031
Practice Address - Country:US
Practice Address - Phone:410-768-7740
Practice Address - Fax:410-768-1528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty