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Baltimore South Smiles Youth Dentistry, PC

General Practice Dentistry in Baltimore, MD · enumerated 2006 · authorized official Jenell Stump, Manager, Licensing Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568473759

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Registry record

Entity type Organization (Type 2)
Legal business name Baltimore South Smiles Youth Dentistry, PC
Practice address 2111 W Patapsco Ave, Baltimore, MD, 21230
Phone (410) 644-4100
Fax (410) 644-4594
Enumeration date Aug 11, 2006
Last updated in NPPES Jul 9, 2014

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Jenell Stump
Title Manager, Licensing Credentialing
Phone (615) 750-0343

Other identifiers

Identifier Type State Issuer
111229 Other MD DENTAQUEST
062375100 Medicaid DC -
410647400 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Baltimore South Smiles Youth Dentistry, PC?
NPPES lists Jenell Stump (Manager, Licensing Credentialing) as the authorized official for this organization.
What is the NPI number for Baltimore South Smiles Youth Dentistry, PC?
The NPI for Baltimore South Smiles Youth Dentistry, PC is 1568473759, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-09.