Individual provider · Type 1 NPI

Octavia S. Simkins-Wiseman, DDS

General Practice Dentistry · Glenn Dale, MD

NPI number 1164648010 Active

Practice location

12150 Annapolis Rd, SUITE301
Glenn Dale, MD 20769-9183

Call (301) 249-8000 Map

Fax (301) 249-4958

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X10983 (MD)

General Practice Dentistry: 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.

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About NPI 1164648010

Octavia S. Simkins-Wiseman, DDS's National Provider Identifier is 1164648010, issued on Apr 18, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glenn Dale, MD. The record was last updated on Mar 12, 2013.