Healthcare Provider Details

I. General information

NPI: 1578684817
Provider Name (Legal Business Name): DENNIS SCURRY JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6323 GEORGIA AVE NW SUITE 208
WASHINGTON DC
20011-1137
US

IV. Provider business mailing address

6323 GEORGIA AVENUE NW SUITE 208
WASHINGTON DC
20011-1137
US

V. Phone/Fax

Practice location:
  • Phone: 202-291-0124
  • Fax: 301-622-1850
Mailing address:
  • Phone: 202-291-0124
  • Fax: 301-622-1850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberMC10997
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD 10997
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: