Dental Yellow Pages

Dental Yellow Pages

Dentists, Dental Clinics and Practices
Oral Surgery, Dental Specialists

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FORT DAVIS DENTAL ASSOCIATES, PLLC

Dental Care Facilities

Washington, District Of Columbia

Provider NPI: 1386917755

Organization Information:
Organization Name:  FORT DAVIS DENTAL ASSOCIATES, PLLC
Organization is not Subpart
Authorized Official:  ISAIAH PURNELL MORRISON  PRESIDENT  202-8898200

Practice Location:
2300 GOOD HOPE RD SE SUITE 3 WASHINGTON, DC 20020 US
Tel: 202-889-8200  Fax: 202-889-5891

Business Mailing Address:
2300 GOOD HOPE RD SE SUITE 3 WASHINGTON, DC 20020 US
Tel: 202-889-8200  Fax: 202-889-5891

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental
DCDEN3045

Other Provider Identifiers:

IssuerNumberStateType
021929400DC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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