Misty Dental Pllc

LBN: Misty Dental Pllc
Misty Dental Pllc is an health care organization with primary practice located at 419 34Th St Ne , Washington DC 20019-1411. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty. Misty Dental Pllc can be contacted via phone (202) 396-6100, or through Eiland, Derrick Kendill via phone (202) 396-6100.

Contact Information

Primary practice address
419 34Th St Ne Washington DC 20019-1411
Phone: (202) 396-6100
Fax: (202) 388-0987
Website:
Map and Directions
Authorized official contact:
Name: Eiland, Derrick Kendill Doctor of Dental Surgery (DDS)
Phone: (202) 396-6100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1033598131
LBN Legal business name Misty Dental Pllc
DBA Doing business as
Authorized official Eiland, Derrick Kendill Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2015
Last updated May 21st, 2015 - about 11 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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