WASHINGTON ORAL SURGERY CENTER, LLC (NPI# 1861801805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861801805 |
Entity Type | Organization |
Organization Name | WASHINGTON ORAL SURGERY CENTER, LLC |
Other Organization Name | ORAL SURGERY DC |
Practice Address |
1357 Good Hope Rd Se Washington DC 20020-6909 |
Practice Telephone | 3013410041 |
Mailing Telephone | 3013410041 |
Enumeration Date | 2014-08-04 |
Last Update Date | 2014-08-04 |
Authorized Official Name | MS. MADALYN PELT (INSRUANCE SPECIALIST) |
Authorized Official Telephone | 3013410041 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Oral Surgery DC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891039988 | Washington Oral Surgery Center, LLC | Clinic/Center | 1401 Mercantile Ln, Suite 102, Largo, MD 20774-4301 | 2012-11-15 |
Street Address |
1357 GOOD HOPE RD SE |
City | WASHINGTON |
State | DC |
Zip Code | 20020-6909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669638185 | Leonel Perez Jr. | Dentist | 1357 Good Hope Rd Se, Washington, DC 20020 | 2008-08-04 |
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 | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962668293 | Washington Oral & Facial Surgery, PC | Clinic/Center | 1234 19th St Nw, Suite 508, Washington, DC 20036-2407 | 2008-08-06 |
City | WASHINGTON |
Zip Code | 20020 |
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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.