Baltimore South Smiles Youth Dentistry, Pc
Dental Clinic
2111 W Patapsco Ave, Baltimore
Maryland, 21230-2946
410-644-4100 410-644-4594
Maps & DirectionsBaltimore South Smiles Youth Dentistry, Pc is a Dental Clinic in Baltimore, Maryland. It is located at 2111 W Patapsco Ave, Baltimore, MD and its contact number is 410-644-4100. The authorized person for Baltimore South Smiles Youth Dentistry, Pc is Jenell Stump
who is Manager, Licensing Credentialing of the clinic and their contact number is 615-750-0343. Other organizations associated with this clinic are Ronald B Montano Dds Pc, Baltimore South Smiles Youth Dentistry, Pc,
Baltimore South Smiles Youth Dentistry, Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Baltimore South Smiles Youth Dentistry, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Baltimore South Smiles Youth Dentistry, Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2111 W Patapsco Ave, Baltimore,
Maryland, 21230-2946 |
| Phone: | 410-644-4100 |
| Fax: | 410-644-4594 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Jenell Stump |
| Position: | Manager, Licensing Credentialing |
| Contact Number: | 615-750-0343 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Baltimore South Smiles Youth Dentistry, Pc clinic are as mentioned below.
| NPI Number: | 1568473759 |
| NPI Enumeration Date: | 11 Aug, 2006 |
| NPI Last Update On: | 09 Jul, 2014 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Ronald B Montano Dds Pc | General Practice Dentistry | 1306254735 |
| Baltimore South Smiles Youth Dentistry, Pc | General Practice Dentistry | 1568473759 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Baltimore South Smiles Youth Dentistry, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 111229 | Other | Maryland | Dentaquest |
| 062375100 | Medicaid | District Of Columbia | |
| 410647400 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Baltimore South Smiles Youth Dentistry, Pc
16 Arcade Unit 198747,
Nashville, Tennessee |
| Zip: | 37219-1994 |
| Phone Number: | 615-750-0343 |
| Fax Number: | 615-986-1705 |
Patients can reach Baltimore South Smiles Youth Dentistry, Pc at
2111 W Patapsco Ave, Baltimore, Maryland or can
call to book an appointment on 410-644-4100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.