Healthcare Provider Details

I. General information

NPI: 1265654040
Provider Name (Legal Business Name): JOHN W. DRUMM, DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 NEW MEXICO AVE NW SUITE 230
WASHINGTON DC
20016-3622
US

IV. Provider business mailing address

3301 NEW MEXICO AVE NW SUITE 230
WASHINGTON DC
20016-3622
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-1601
  • Fax: 202-244-1604
Mailing address:
  • Phone: 202-244-1601
  • Fax: 202-244-1604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN 003341
License Number StateDC

VIII. Authorized Official

Name: DR. JOHN WALTER DRUMM
Title or Position: OWNER
Credential: DMD
Phone: 202-244-1601