NPI 1003234360 · live from the CMS NPI Registry
Premiere Ortho-Pedo PLLC
Dentist, Orthodontics and Dentofacial Orthopedics in Washington, DC. National Provider Identifier 1003234360, active.
NPI record
| NPI | 1003234360 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 437 Cedar St Nw, Washington, DC 20012 |
| Practice phone | 202-725-7735 |
| Mailing address | Po Box 55474, Washington, DC 20040 |
| Enumerated | April 3, 2014 |
| Last updated | November 9, 2023 |
| Authorized official | Marvin Ngwafon, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Pediatric Dentistry | 1223P0221X | DEN1001349 (DC) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DEN1000997 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.