| Abyssinia Dental Llc | |
|
4041 Powder Mill Rd Ste 100 Beltsville MD 20705-3106 | |
| (301) 477-1005 | |
| Not Available |
| Full Name | Abyssinia Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4041 Powder Mill Rd Ste 100, Beltsville, Maryland |
| Authorized Official Name and Position | Derejew Kifle Tessema (DENTIST) |
| Authorized Official Contact | 3014771005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abyssinia Dental Llc 4041 Powder Mill Rd Ste 100 Beltsville MD 20705-3106 Ph: (301) 477-1005 | Abyssinia Dental Llc 4041 Powder Mill Rd Ste 100 Beltsville MD 20705-3106 Ph: (301) 477-1005 |
| NPI Number | 1851861199 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851861199 | NPI | - | NPPES |
| 131458100 | Medicaid | MD | |
| 17075979 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Shannon Candid Maryland, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Powder Mill Rd Ste 450, Beltsville, MD 20705 Phone: 860-481-7631 | |
Vijayalakshmi Jesson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10820 Rhode Island Ave Ste A, Beltsville, MD 20705 Phone: 301-937-9330 Fax: 301-477-4831 | |
Beltsville Family Dental Ctr.llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11109 Baltimore Ave, Beltsville, MD 20705 Phone: 301-937-1472 | |
Gregory V. Keating, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3628 Powder Mill Rd, Beltsville, MD 20705 Phone: 301-937-2233 Fax: 301-937-2420 |