Water Brook Dental

LBN: A Great Smile Dental Care Pllc
Water Brook Dental is an health care organization with primary practice located at 2750 14Th St Nw C-11, Washington DC 20009-6909. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. A Great Smile Dental Care Pllc can be contacted via phone (202) 726-5106, or through Shaw, Marlene Saint-Phard via phone (202) 726-5106.

Contact Information

Primary practice address
2750 14Th St Nw C-11 Washington DC 20009-6909
Phone: (202) 726-5106
Fax: (202) 882-0976
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Marlene Saint-Phard Doctor of Dental Surgery (DDS)
Phone: (202) 726-5106

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DEN1000381 District of Columbia

Profile Details

NPI number 1275812729
LBN Legal business name A Great Smile Dental Care Pllc
DBA Doing business as Water Brook Dental
Authorized official Shaw, Marlene Saint-Phard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2011
Last updated Aug 15th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275812729 NPPES
Maryland MEDICAID 012049900
Maryland MEDICAID 037396400

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