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THE WASHINGTON DENTAL STUDIO NPI 1124393525


NPI Information

NPI: 1124393525
Provider Name: THE WASHINGTON DENTAL STUDIO
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 09D2110084

Address:
1234 19TH ST NW
SUITE 100
WASHINGTON, DC
ZIP 20036
Phone: (202) 822-0700
Get Directions

THE WASHINGTON DENTAL STUDIO is a general practice dentist in Washington, DC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. THE WASHINGTON DENTAL STUDIO NPI is 1124393525. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1234 19TH ST NW
SUITE 100
WASHINGTON, DC
ZIP 20036-407
Phone: (202) 822-0700
Fax: (202) 822-0701

The provider's authorized official is William L Ebbs .
The authorized official title is Owner and has the following contact phone number (202) 822-0700.

The CLIA number assigned to this NPI record is 09D2110084 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2012 and was last updated on 3/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDC5714DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1056310600MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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