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SHININGSTARS PEDIATRIC DENTISTRY PC NPI 1922738848


NPI Information

NPI: 1922738848
Provider Name: SHININGSTARS PEDIATRIC DENTISTRY PC

Other Name: SHININGSTARS PEDIATRIC DENTISTRY VAN NESS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
4301 CONNECTICUT AVE NW STE 453
WASHINGTON, DC
ZIP 20008
Phone: (202) 470-3676
Get Directions

SHININGSTARS PEDIATRIC DENTISTRY PC 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. SHININGSTARS PEDIATRIC DENTISTRY PC NPI is 1922738848. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Shiningstars Pediatric Dentistry Van Ness.

The provider's business location address is:

4301 CONNECTICUT AVE NW STE 453
WASHINGTON, DC
ZIP 20008-356
Phone: (202) 470-3676

The provider's authorized official is Gina Cuc Pham .
The authorized official title is President and has the following contact phone number (202) 600-4833.

The enumeration date for this NPI number is 6/14/2022 and was last updated on 6/14/2022.


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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
2261QD0000XClinic/CenterDentalNo
31223P0221XDentistPediatric DentistryYes

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: 5/5/2024

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