Ivy City Pediatric Dentistry & Orthodontics | |
2012 Hecht Ave Ne Washington DC 20002-1668 | |
(202) 669-6571 | |
Not Available |
Full Name | Ivy City Pediatric Dentistry & Orthodontics |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 2012 Hecht Ave Ne, Washington, District Of Columbia |
Authorized Official Name and Position | Jarrett Caldwell (PRINCIPAL) |
Authorized Official Contact | 2026696571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ivy City Pediatric Dentistry & Orthodontics 715 Ingraham St Nw Washington DC 20011-7707 Ph: (202) 669-6571 | Ivy City Pediatric Dentistry & Orthodontics 2012 Hecht Ave Ne Washington DC 20002-1668 Ph: (202) 669-6571 |
NPI Number | 1164183562 |
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Provider Enumeration Date | 01/07/2022 |
Last Update Date | 03/31/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164183562 | NPI | - | NPPES |
037888331 | Medicaid | DC | |
086310600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Dental Dreams Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 Minnesota Ave Ne, Washington, DC 20019 Phone: 312-274-4526 | |
Gail A. Kirkland-briscoe, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3012 18th St Ne, Washington, DC 20018 Phone: 202-526-4060 Fax: 202-526-4065 | |
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Berkshire Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 Massachusetts Ave Nw Ste 1040c, Washington, DC 20016 Phone: 202-244-3902 Fax: 202-244-6547 | |
Friendship Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5247 Wisconsin Ave Nw, Ste 3a, Washington, DC 20015 Phone: 202-362-7413 Fax: 202-362-7410 | |
City Dental Dc Mass., Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Massachusetts Ave Nw Ste 4, Washington, DC 20005 Phone: 202-628-7979 | |
Adam D Schwartz Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 Phone: 202-244-8848 Fax: 202-363-2635 |