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ADVANCED COSMETIC AND GENERAL DENTISTRY GROUP PC NPI 1356931539


NPI Information

NPI: 1356931539
Provider Name: ADVANCED COSMETIC AND GENERAL DENTISTRY GROUP, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 21D2259700

Address:
1145 19TH ST NW STE 512
WASHINGTON, DC
ZIP 20036
Phone: (202) 331-1644
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ADVANCED COSMETIC AND GENERAL DENTISTRY GROUP, PC 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. ADVANCED COSMETIC AND GENERAL DENTISTRY GROUP, PC NPI is 1356931539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1145 19TH ST NW STE 512
WASHINGTON, DC
ZIP 20036-715
Phone: (202) 331-1644

The provider's authorized official is David Eskow .
The authorized official title is Dentist and has the following contact phone number (301) 602-2455.

The CLIA number assigned to this NPI record is 21D2259700 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 1/21/2021.


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 PracticeYes

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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