Individual provider · Type 1 NPI

Brent Miller Koudelka, DDS

Dentist · Washington, DC

NPI number 1871602805 Active

Practice location

6900 Georgia Ave NW, Building 2 Room 1D
Washington, DC 20307-5400

Call (202) 782-6815 Map

Fax (202) 782-6987

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X30013909 (OH)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1871602805

Brent Miller Koudelka, DDS's National Provider Identifier is 1871602805, issued on Aug 30, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2007.