ST JUDES DENTAL CLINIC

Address: 2802 Rhode Island Ave Ne # 1, Washington, DC 20018
Phone: 2022693387

ST JUDES DENTAL CLINIC (NPI# 1356855332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356855332
Entity Type Organization
Organization Name ST JUDES DENTAL CLINIC
Practice Address 2802 Rhode Island Ave Ne # 1
Washington
DC 20018
Mailing Address 2802 Rhode Island Ave Ne # 1
Washington
DC 20018-2998
Practice Telephone 2022693387
Practice Fax Number 2022694814
Mailing Telephone 2022693387
Mailing Fax Number 2022694814
Enumeration Date 2017-11-28
Last Update Date 2018-06-25
Authorized Official Name DR. BRUK E TAEME (DR.)
Authorized Official Telephone 2022269338
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
1001090 DC Dental Providers

Office Location

Street Address 2802 RHODE ISLAND AVE NE # 1
City WASHINGTON
State DC
Zip Code 20018

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104438712 Veronica Anita Rose Technician 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 2020-08-17
1851910293 Justina Christina Okougbo Nurse Practitioner 1242 12th St Ne Washington D.c., Washington, DC 20018 2020-04-15
1821629304 Claire Cinque Physical Therapy Assistant 2601 18th Street Nw, Washington, DC 20018 2020-02-03
1669025474 Chase Associates, LLC Community/Behavioral Health 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 2019-07-20
1407328446 Howard Mabry Psychologist 2218 Rhode Island Avenue, Washington, DC 20018 2018-12-31
1760968697 Velma Enjie Tebo Home Health Aide 1511 Franklin St Ne Apt 510, Washington, DC 20018 2018-07-13
1346744141 Jacques Vanel Siewe Mbouwe Home Health Aide 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 2018-03-19
1376050658 Marlena Hunt Technician 2504 10th St. Ne, Apt 404, Washington, DC 20018 2018-01-08
1245745926 Mirabel Timben Mbah Home Health Aide 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 2017-12-04
1609394931 Onevision, Inc. Optometrist 3620 South Dakota Ave Ne, Washington, DC 20018 2017-09-07
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508470196 Benise Nnawuihe Dentist 55 M St Se, Washington, DC 20003-3522 2020-09-01
1124636139 Amma Boateng Dentist 3651 Winfield Ln Nw, Washington, DC 20007-2385 2020-07-15
1760008841 Kaitlin Elise Delaney Dentist 2021 K St Nw Ste 720, Washington, DC 20006-1003 2020-06-24
1710500871 Robert Scott Mckernan Dentist 55 M St Ne Apt Ph210, Washington, DC 20002-3298 2020-05-24
1629691092 City Dental Dc- 2055 L, Pllc Dentist 2075 L Street, Nw, Washington, DC 20036 2020-05-20
1275174351 Roberts Brown & Associates Dentist 4300 Wheeler Rd Se, Washington, DC 20032-6036 2019-10-01
1841848421 Tayler Yvette Keith Jackson Dentist 509 11th St Se, Washington, DC 20003-2831 2019-08-28
1639726243 Matias Cima Dentist 4400 Jenifer St Nw Ste 340, Washington, DC 20015-2086 2019-08-20
1770145328 Lydia Ileana Goodson Dentist 525 S, Ia-1, Washington, IA 52353-5235 2019-07-03
1346800356 Mallory Kist Dentist 366 Washington Rd, Washington, PA 15301-2702 2019-06-20
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Competitor

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City WASHINGTON
Zip Code 20018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.