Organization

Davidson Dental Associates, Pllc

Legal Business Name

Davidson Dental Associates, Pllc

NPI Number

1295850394

NPI Type

Organization

Enumeration Date

03/20/2007

Specialties

(Taxonomies)

Code

122300000X
1223E0200X
1223G0001X
1223S0112X
1223P0300X

Primary Taxonomy

No
No
No
No
No

Licenses

State

District Of Columbia
District Of Columbia
District Of Columbia
District Of Columbia
District Of Columbia
District Of Columbia
District Of Columbia
District Of Columbia
District Of Columbia

License Number

DEN1001472
DEN1001366
DEN1000390
1001379
DEN1001379
DEN4780
DEN1000967
DEN2366
DEN5224

Contact
Information

Purpose

Mailing
Location

Address

1990 K ST NW
1990 K ST NW

City

Washington
Washington

State

DC
DC

Postal Code

20006-1103
20006-1103

Country

US
US

Telephone Number

(202) 775-0022
(202) 775-0022

Authorized Official

Name

Wanda Davidson

Title or Position

OWNER PRESIDENT

Telephone Number

(202) 775-0022

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/27/2015

Provider Address