Fort Davis Dental Associates, Pllc

LBN: Fort Davis Dental Associates, Pllc
Fort Davis Dental Associates, Pllc is an health care organization with primary practice located at 2300 Good Hope Rd Se Suite 3, Washington DC 20020-5147. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Fort Davis Dental Associates, Pllc can be contacted via phone (202) 889-8200, or through Morrison, Isaiah Purnell via phone (202) 889-8200.

Contact Information

Primary practice address
2300 Good Hope Rd Se Suite 3 Washington DC 20020-5147
Fax: (202) 889-5891
Website:
Authorized official contact:
Name: Morrison, Isaiah Purnell Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DEN3045 District of Columbia

Profile Details

NPI number 1386917755
LBN Legal business name Fort Davis Dental Associates, Pllc
DBA Doing business as
Authorized official Morrison, Isaiah Purnell Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2012
Last updated Feb 16th, 2012 - 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 1386917755 NPPES
District of Columbia MEDICAID 021929400

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