DIMPLES DENTAL SUITE PC NPI 1477981926

NPI Information

DIMPLES DENTAL SUITE, 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. DIMPLES DENTAL SUITE, PC NPI is 1477981926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2811 PENNSYLVANIA AVE SE
SUITE 2
WASHINGTON, DC
ZIP 20020-865
Phone: (202) 584-0710
Fax: (202) 575-3627

The provider's authorized official is Takeisha Rochelle Presson .
The authorized official title is President and has the following contact phone number (202) 297-4592.

The enumeration date for this NPI number is 10/20/2013 and was last updated on 11/25/2016.

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:

Other Identifiers

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

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