Department Of Dentistry is a Pediatric Dental Clinic in Washington, District Of Columbia. It is located at 111 Michigan Ave Nw, Washington, DC and its contact number is 202-476-6706. The authorized person for Department Of Dentistry is Tawanna Grisham
who is Manager of the clinic and their contact number is 202-476-6706. The primary license number for Department Of Dentistry is HFD01-0208 (Pediatric Dentistry) in District Of Columbia. Department Of Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Department Of Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Department Of Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
111 Michigan Ave Nw, Washington, District Of Columbia, 20010-2916
Phone:
202-476-6706
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Tawanna Grisham
Position:
Manager
Contact Number:
202-476-6706
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Department Of Dentistry clinic are as mentioned below.
NPI Number:
1275860637
NPI Enumeration Date:
05 Nov, 2009
NPI Last Update On:
19 Nov, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Department Of Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
HFD01-0208
District Of Columbia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
028002700
Medicaid
District Of Columbia
760664800
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Department Of Dentistry Po Box 37212, Baltimore, Maryland
Zip:
21297-3212
Phone Number:
--
Patients can reach Department Of Dentistry at 111 Michigan Ave Nw, Washington, District Of Columbia or can call to book an appointment on 202-476-6706. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.