OrganizationActive
Super Kids Teeth LLC
NPI 1376065193 · Pediatric Dentistry · Odenton, MD
Super Kids Teeth LLC is a Pediatric Dentistry organization in Odenton, MD (NPI 1376065193).
Provider details
- NPI number
- 1376065193
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Soe Mon, Co-Owner(410) 995-8000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2288 Blue Water Blvd Ste 328
Odenton, MD 21113-3309
Phone: (410) 995-8000
Street-level locationGet directions
Mailing address
2288 Blue Water Blvd Ste 328
Odenton, MD 21113-3309
Other names (DBA / former)
- Doing business as
- Severn Pediatric Dentistry
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is Super Kids Teeth LLC's NPI number?
- Super Kids Teeth LLC's National Provider Identifier (NPI) is 1376065193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Super Kids Teeth LLC?
- Super Kids Teeth LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Super Kids Teeth LLC located?
- Super Kids Teeth LLC's practice location on file with NPPES is 2288 Blue Water Blvd Ste 328, Odenton, MD 21113-3309.
- What is Super Kids Teeth LLC's phone number?
- The practice phone number listed in the NPPES registry for Super Kids Teeth LLC is (410) 995-8000.
- Who is the authorized official for Super Kids Teeth LLC?
- The authorized official listed on Super Kids Teeth LLC's NPPES record is Soe Mon, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Super Kids Teeth LLC's NPI active?
- Yes — Super Kids Teeth LLC's NPI (1376065193) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.