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HERO DENTAL OF WASHINGTON DC PC NPI 1679981005


NPI Information

NPI: 1679981005
Provider Name: HERO DENTAL OF WASHINGTON DC PC

Doing Business As: ADVENTURE DENTAL AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3401 GEORGIA AVE NW
WASHINGTON, DC
ZIP 20010
Phone: (202) 829-5437
Get Directions

HERO DENTAL OF WASHINGTON DC 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. HERO DENTAL OF WASHINGTON DC PC NPI is 1679981005. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventure Dental And Orthodontics.

The provider's business location address is:

3401 GEORGIA AVE NW
WASHINGTON, DC
ZIP 20010-501
Phone: (202) 829-5437
Fax: (202) 829-9255

The provider's authorized official is Shaun Urbanozo .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 323-2362.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 10/22/2019.


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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
21223G0001XDentistGeneral PracticeYes

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
1078727500MEDICAIDDISTRICT 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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