YELENA OBHOLZ DDS II PLLC (NPI# 1467004341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467004341 |
Entity Type | Organization |
Organization Name | YELENA OBHOLZ DDS II PLLC |
Practice Address |
5101 Wisconsin Ave Nw Ste 107b Washington DC 20016-4136 |
Practice Telephone | 2023648209 |
Mailing Telephone | 2023648209 |
Enumeration Date | 2019-07-11 |
Last Update Date | 2019-07-11 |
Authorized Official Name | YELENA OBHOLZ (MANAGING MEMBER) |
Authorized Official Telephone | 2023648989 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
Other Name | Type Code |
---|---|
Aesthetic & Family Dentistry Specialists | Doing Business As Name - Organization |
Street Address |
5101 WISCONSIN AVE NW STE 107B |
City | WASHINGTON |
State | DC |
Zip Code | 20016-4136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
Find all providers in zip 20016 |
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 |
---|---|---|---|---|
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 |
1447235817 | Philip Denicolo | Dentist | 6900 Georgia Ave. Nw, Building 2, Room 1d02, Washington, DC 20307-5400 | 2005-12-08 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20016 |
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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.