Davidson Dental Associates, PLLC
Dentist, Prosthodontics in Washington, DC. Organization (NPI-2).
NPI number1295850394
StatusActive
Last updated in NPPESMay 27, 2015
Details
- NPI
- 1295850394
- Entity type
- Organization (NPI-2)
- Legal business name
- Davidson Dental Associates, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- May 27, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | DEN1000212 | DC | Yes |
| 122300000X | Dentist | DEN1001472 | DC | |
| 122300000X | Dentist | DEN1001366 | DC | |
| 122300000X | Dentist | DEN1000390 | DC | |
| 1223P0300X | Dentist, Periodontics | DEN2366 | DC | |
| 1223G0001X | Dentist, General Practice | DEN4780 | DC | |
| 1223P0300X | Dentist, Periodontics | DEN5224 | DC | |
| 1223E0200X | Dentist, Endodontics | 1001379 | DC | |
| 1223E0200X | Dentist, Endodontics | DEN1001379 | DC | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DEN1000967 | DC |
Practice location
1990 K St NwSuite 15b
Washington, DC 20006-1103
Phone 202-775-0022
Mailing address
1990 K St NwSuite 15b
Washington, DC 20006-1103
Phone 202-775-0022
Authorized official
Wanda L Davidson
Owner President
2027750022
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All 31 Prosthodontics providers in Washington · All 52,758 providers in Washington
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