NPI 1922738848 · live from the CMS NPI Registry
Shiningstars Pediatric Dentistry PC
Dentist, Pediatric Dentistry in Washington, DC. National Provider Identifier 1922738848, active.
NPI record
| NPI | 1922738848 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 4301 Connecticut Ave Nw Ste 453, Washington, DC 20008 |
| Practice phone | 202-470-3676 |
| Mailing address | Po Box 10083, Mc Lean, VA 22102 |
| Enumerated | June 14, 2022 |
| Last updated | June 14, 2022 |
| Authorized official | Gina Pham, President |
| Other names | Shiningstars Pediatric Dentistry Van Ness |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Clinic/Center, Dental | 261QD0000X | — |
| Dentist, Pediatric Dentistry primary | 1223P0221X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.