FIDEL DENTAL GROUP PLLC NPI 1912363573

NPI Information

NPI: 1912363573
Provider Name: FIDEL DENTAL GROUP, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4400 JENIFER ST NW
SUITE 335
WASHINGTON, DC
ZIP 20015
Phone: (202) 362-7413
Get Directions

FIDEL DENTAL GROUP, PLLC is a pediatric dentistry dentist in Washington, DC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. FIDEL DENTAL GROUP, PLLC NPI is 1912363573. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4400 JENIFER ST NW
SUITE 335
WASHINGTON, DC
ZIP 20015-113
Phone: (202) 362-7413

The provider's authorized official is Juliana Benini .
The authorized official title is Office Manager and has the following contact phone number (202) 362-7413.

The enumeration date for this NPI number is 1/12/2016 and was last updated on 1/12/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DEN1001296	DISTRICT OF COLUMBIA	No
2	1223P0300X	Dentist	Periodontics	DEN5669	DISTRICT OF COLUMBIA	No
3	1223P0700X	Dentist	Prosthodontics	DEN1000570	DISTRICT OF COLUMBIA	No
4	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	DEN1000355	DISTRICT OF COLUMBIA	No
5	1223P0221X	Dentist	Pediatric Dentistry	DEN5886	DISTRICT OF COLUMBIA	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »