1508014499 NPI number — CAPITOL CLINICAL DENTAL SERVICES, PLLC

Table of content: (NPI 1508014499)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508014499 NPI number — CAPITOL CLINICAL DENTAL SERVICES, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAPITOL CLINICAL DENTAL SERVICES, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CAPITOL DENTAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508014499
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2737 A DEVONSHIRE PLACE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20008-1654
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-232-1117
Provider Business Mailing Address Fax Number:
202-232-1911

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2737 A DEVONSHIRE PLACE NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20008-1654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-232-1117
Provider Business Practice Location Address Fax Number:
202-232-1911
Provider Enumeration Date:
09/04/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCCOY-COLLINS
Authorized Official First Name:
RENEE
Authorized Official Middle Name:
AVA
Authorized Official Title or Position:
MANAGING MEMBER
Authorized Official Telephone Number:
202-232-1117

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DEN2228 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X , with the licence number: DEN1000290 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223S0112X , with the licence number: DEN3652 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223S0112X , with the licence number: DEN1000625 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)