ELAINE ELLIS CENTER OF HEALTH NPI 1366243768

NPI Information

  • NPI: 1366243768
  • Provider Name: ELAINE ELLIS CENTER OF HEALTH
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1627 KENILWORTH AVE NE
    WASHINGTON, DC
    ZIP 20019
  • Phone: (202) 803-2340

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NPI Details

ELAINE ELLIS CENTER OF HEALTH is a dental clinic center in Washington, DC. ELAINE ELLIS CENTER OF HEALTH NPI is 1366243768. The provider is registered as an organization entity type.

The provider's business location address is:

1627 KENILWORTH AVE NE
WASHINGTON, DC
ZIP 20019-010
Phone: (202) 803-2340
Fax: (202) 803-2350

The provider's authorized official is Jacquelyn Renee Walker .
The authorized official title is Ceo and has the following contact phone number (202) 803-2340.

The enumeration date for this NPI number is 3/21/2025 and was last updated on 3/21/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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