Provider Demographics
NPI:1407730567
Name:SMILECRAFT ORTHODONTICS PC
Entity type:Organization
Organization Name:SMILECRAFT ORTHODONTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:CHIKE
Authorized Official - Last Name:AKPUA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD, MBA
Authorized Official - Phone:301-760-2194
Mailing Address - Street 1:11902 WYNNIFRED PL
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9474
Mailing Address - Country:US
Mailing Address - Phone:301-803-8423
Mailing Address - Fax:
Practice Address - Street 1:7371 ASSATEAGUE DR
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-3201
Practice Address - Country:US
Practice Address - Phone:301-760-2194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty