Organization · Type 2 NPI

DC Southern Dental Ppo PC

Denturist · Washington, DC

NPI number 1457164758 Active

Practice location

1625 K St NW # Ll
Washington, DC 20006-1604

Call (202) 463-2090 Map

Mailing address

5830 Granite Pkwy Ste 780M
Plano, TX 75024-6775

Specialties and licenses

Taxonomy	Code	License
Denturist Primary	122400000X	None listed

Denturist: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

NPI record

NPI: 1457164758
Entity type: Organization (Type 2)
Issued: Jan 30, 2025
Last updated: Jan 30, 2025
Status: Active
Subpart: Yes of DC Southern Dental Ppo PC

Other names

Phillips, Cooper & Associates · doing business as

Authorized official

Erika Menjivar
Sr. Credentialing Specialist
(469) 596-6137

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457164758

DC Southern Dental Ppo PC's National Provider Identifier is 1457164758, issued on Jan 30, 2025. The primary taxonomy on file is Denturist (122400000X), and the practice location is in Washington, DC. The record was last updated on Jan 30, 2025.