DR. PHILIP DENICOLO (NPI# 1447235817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447235817 |
| Entity Type | Individual |
| Full Name | DR. PHILIP DENICOLO |
| Credential | D.M.D. |
| Practice Address |
6900 Georgia Ave. Nw Building 2, Room 1d02 Washington DC 20307-5400 |
| Mailing Address |
6900 Georgia Ave. Nw Building T20, Room 206a Washington DC 20307-5400 |
| Practice Telephone | 2027826815 |
| Practice Fax Number | 2027826987 |
| Mailing Telephone | 2027820988 |
| Mailing Fax Number | 2027829195 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
006473 | CT | Dental Providers |
| Street Address |
6900 GEORGIA AVE. NW BUILDING 2, ROOM 1D02 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20307-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831352913 | Benjamin Palmer | Student in an Organized Health Care Education/Training Program | 6900 Georgia Ave. Nw, Wramc, Bldg 2, Dept of Gme, Washington, DC 20307 | 2008-07-08 |
| 1942366224 | Charles S Milliken | Psychiatry & Neurology | 6900 Georgia Ave. Nw, Wramc, Bldg 6, Department of Psychiatry, Washington, DC 20307-5001 | 2006-12-29 |
| 1558423533 | Julia A Lynch | Pediatrics | 6900 Georgia Ave. Nw, Wramc, Bldg 2, Department of Pediatrics, Washington, DC 20307 | 2006-12-15 |
| 1811058993 | William John Huleatt | Social Worker | 6900 Georgia Ave. Nw, Wramc Bldg 6, Department of Social Work, Washington, DC 20307-5001 | 2006-12-13 |
| 1306938956 | Ronald George Riechers II | Psychiatry & Neurology | 6900 Georgia Ave. Nw, Department of Neurology, Rm 6243, Washington, DC 20307 | 2006-09-29 |
| 1043295231 | Thomas Spalding Sympson | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-09 |
| 1912982158 | Mark Leonard Wiesner | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-09 |
| 1548245947 | Vesna Ele | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-08 |
| 1053396440 | Ming Ted Wong | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-08 |
| 1043295439 | Marty George Moon | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760659395 | Mohammad Akbar Hashemi | Physician Assistant | 6900 Gerogia Ave Nw Washington, Distric of Columbia, DC 20307 | 2008-05-13 |
| 1457557118 | Aaric Queen | Anesthesiology | Wramc, Bldg 2, 2j38, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-06-21 |
| 1285838193 | Daryl L Griffin | Anesthesiology | 6900 Nw Georgia Ave, Washington Dc, DC 20307 | 2007-06-13 |
| 1790999183 | Brendan Thomas Doherty | Radiology | Department of Radiology,walter Reed Army Medical Center, 6900 Georgia Ave, Nw, Washington, DC 20307 | 2007-05-09 |
| 1598983348 | Timothy Paul Brown | Psychiatry & Neurology | Walter Reed Army Medical Center, Dept of Psychiatry, 6900 Georgia Ave Nw, Bldg. 6, Borden Pavilion, Washington, DISTRICT OF COLUMBIA 20307 | 2007-04-24 |
| 1912049008 | Mark Vincent Farinas | Occupational Therapist | Walter Reed Army Medical Ctr, Dept of Pediatrics, 6900 Georgia Avenue, Washington, DC 20307 | 2007-02-13 |
| 1497841076 | Kathleen Uhl | Family Medicine | Walter Reed Army Hospital, 6900 Georgia Ave., Washington, DC 20307 | 2006-10-04 |
| 1760581565 | Scott M Croll | Anesthesiology | Wramc, Bld 2 Wd 44 Anesthesia, 6900 Georgia Ave, Washington, DC 20307 | 2006-09-21 |
| 1295719359 | Steven Arnold Taylor | Dentist | Wramc Dept of Oral Surgery, 6900 Georgia Ave Nw, Washington, DC 20307 | 2005-12-02 |
| 1912991951 | Mark Jason Roschewski | Internal Medicine | 6900 Georgia Ave Nw, Walter Reed Army Med Center, Washington, DC 20307 | 2005-09-06 |
| Find all providers in zip 20307 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004341 | Yelena Obholz Dds II Pllc | Dentist | 5101 Wisconsin Ave Nw Ste 107b, Washington, DC 20016-4136 | 2019-07-11 |
| 1588149470 | Amir Shayesteh | Dentist | 600 W St Nw Ste 400, Washington, DC 20059-1022 | 2018-09-26 |
| 1700309861 | Advanced Periodontics of Washington, Pllc | Dentist | 1145 19th St Nw Ste 510, Washington, DC 20036-3715 | 2017-07-20 |
| 1992085724 | Jean Li | Dentist | 1212 New York Ave Nw Ste 430, Washington, DC 20005-3987 | 2011-08-24 |
| 1720393184 | Jaffer F Arastu | Dentist | 1841 Columbia Rd Nw Apt A, Washington, DC 20009-2200 | 2010-08-10 |
| 1275779274 | Marvin F. Grower | Dentist | Howard Univ College of Dent 600 W St Nw, Washington, DC 20059-0001 | 2008-12-21 |
| 1821293465 | Sina Peter Farzin | Dentist | 4545 42nd Street Nw, Suite 108, Washington, DC 20016 | 2007-06-15 |
| 1417030495 | Monette Marie Shuutleworth | Dentist | 5225 Wisconsin Ave Nw Suite #511, Washington, DC 20015 | 2006-10-23 |
| 1689769788 | Specialty Periodontal Care of Washington Pa LLC | Dentist | 2790 West Chestnut Street, Washington, PA 15301 | 2006-10-04 |
| 1518947605 | Armin Abron | Dentist | 1712 Eye St Nw, Suite 202, Washington, DC 20006-3702 | 2006-01-17 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.