DIMPLES DENTAL SUITE, PC (NPI# 1477981926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477981926 |
| Entity Type | Organization |
| Organization Name | DIMPLES DENTAL SUITE, PC |
| Practice Address |
2811 Pennsylvania Ave Se Suite 2 Washington DC 20020-3865 |
| Practice Telephone | 2025840710 |
| Practice Fax Number | 2025753627 |
| Mailing Telephone | 2025840710 |
| Mailing Fax Number | 2025753627 |
| Enumeration Date | 2013-10-20 |
| Last Update Date | 2016-11-25 |
| Authorized Official Name | DR. TAKEISHA ROCHELLE PRESSON (PRESIDENT) |
| Authorized Official Telephone | 2022974592 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN1000789 | DC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 075593600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972046894 | Dimples Dental Suite, PC | Dentist | 220 I St Ne, Suite 100, Washington, DC 20002-4365 | 2016-11-25 |
| Street Address |
2811 PENNSYLVANIA AVE SE SUITE 2 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558324681 | Audrey Ida Fried | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2006-04-10 |
| 1043833783 | District Healthcare Services, LLC | Clinic/Center | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2020-05-28 |
| 1952924698 | District Healthcare Services, LLC | Clinic/Center | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2020-05-28 |
| 1134742877 | District Healthcare Services, LLC | Clinic/Center | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2020-05-28 |
| 1881245272 | Gail Scott | Registered Nurse | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2019-09-26 |
| 1043740681 | Renaldo Damian Mcbeth | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2017-06-15 |
| 1336441526 | Larry Thomas Freeman | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2010-11-22 |
| 1629201736 | Carrie E Renfro | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2009-08-24 |
| 1336381862 | Martha Ineze Ajiwe | Counselor | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2009-03-30 |
| 1720266299 | Twana Susette Sherrod | Social Worker | 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 | 2008-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470196 | Benise Nnawuihe | Dentist | 55 M St Se, Washington, DC 20003-3522 | 2020-09-01 |
| 1124636139 | Amma Boateng | Dentist | 3651 Winfield Ln Nw, Washington, DC 20007-2385 | 2020-07-15 |
| 1760008841 | Kaitlin Elise Delaney | Dentist | 2021 K St Nw Ste 720, Washington, DC 20006-1003 | 2020-06-24 |
| 1710500871 | Robert Scott Mckernan | Dentist | 55 M St Ne Apt Ph210, Washington, DC 20002-3298 | 2020-05-24 |
| 1629691092 | City Dental Dc- 2055 L, Pllc | Dentist | 2075 L Street, Nw, Washington, DC 20036 | 2020-05-20 |
| 1275174351 | Roberts Brown & Associates | Dentist | 4300 Wheeler Rd Se, Washington, DC 20032-6036 | 2019-10-01 |
| 1841848421 | Tayler Yvette Keith Jackson | Dentist | 509 11th St Se, Washington, DC 20003-2831 | 2019-08-28 |
| 1639726243 | Matias Cima | Dentist | 4400 Jenifer St Nw Ste 340, Washington, DC 20015-2086 | 2019-08-20 |
| 1770145328 | Lydia Ileana Goodson | Dentist | 525 S, Ia-1, Washington, IA 52353-5235 | 2019-07-03 |
| 1346800356 | Mallory Kist | Dentist | 366 Washington Rd, Washington, PA 15301-2702 | 2019-06-20 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on DIMPLES DENTAL SUITE, PC.
| 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.