Organization · Type 2 NPI

Fidel Dental Group, PLLC

Pediatric Dentistry · Washington, DC

NPI number 1912363573 Active

Practice location

4400 Jenifer St NW, Suite 335
Washington, DC 20015-2113

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDEN1001296 (DC)
Pediatric Dentistry Primary 1223P0221XDEN5886 (DC)
Periodontics 1223P0300XDEN5669 (DC)
Prosthodontics 1223P0700XDEN1000570 (DC)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDEN1000355 (DC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1912363573

Fidel Dental Group, PLLC's National Provider Identifier is 1912363573, issued on Jan 12, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Washington, DC. The record was last updated on Jan 12, 2016.