MEDICARE: MFON ETESIN UMOREN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	10066	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770634248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MFON ETESIN UMOREN D.D.S.

Provider Business Mailing Address
First Line	:	6495 NEW HAMPSHIRE AVE STE B250
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3245
Country	:	US
Telephone Number	:	301-439-5868
Fax Number	:	301-439-9528

Provider Business Practice Location Address
First Line	:	6495 NEW HAMPSHIRE AVE STE B250
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3245
Country	:	US
Telephone Number	:	301-439-5868
Fax Number	:	301-439-9528

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	01/23/2026

Similar Medicare Providers

1851199772 — TREMKER SOLUTIONS LLC
Practice Location Address:

6495 NEW HAMPSHIRE AVE STE B-120
HYATTSVILLE, MD
20783-3245

Practice Phone: 301-346-5616
Practice Fax:

1700981826 — DR. MELVILLE CECIL WYSE D.D.S., M.P.H.
Practice Location Address:

6495 NEW HAMPSHIRE AVE , SUITE 113
HYATTSVILLE, MD
20783-3245

Practice Phone: 301-270-2818
Practice Fax: 301-270-9488

1326118225 — MR. ANANTHA K RAO MD
Practice Location Address:

6495 NEW HAMPSHIRE AVE , 190
HYATTSVILLE, MD
20783-3245

Practice Phone: 301-445-4430
Practice Fax: 301-445-3753

1508922766 — DR. DAVID L. SCOTT JR. D.D.S.
Practice Location Address:

6495 NEW HAMPSHIRE AVE , B300
HYATTSVILLE, MD
20783-3245

Practice Phone: 301-439-3331
Practice Fax: 301-439-5975

1326162256 — DR. SANDRA I CALDWELL D.D.S
Practice Location Address:

6495 NEW HAMPSHIRE AVE , SUITE 108
HYATTSVILLE, MD
20783-3245

Practice Phone: 301-270-5100
Practice Fax: 301-270-5524

1033328539 — DR. YVETTE JU D.O.
Practice Location Address:

6495 NEW HAMPSHIRE AVE , SUITE 201
HYATTSVILLE, MD
20783-3245

Practice Phone: 240-994-4356
Practice Fax:

Directions to “ MFON ETESIN UMOREN D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.