Healthcare Provider Details

I. General information

NPI: 1043136765
Provider Name (Legal Business Name): NEXUS DENTAL PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 I ST NW STE 620
WASHINGTON DC
20006-3751
US

IV. Provider business mailing address

4710 ELM ST APT W910
BETHESDA MD
20814-3823
US

V. Phone/Fax

Practice location:
  • Phone: 202-333-9322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JIELIN WANG
Title or Position: DENTIST
Credential: DMD
Phone: 202-375-9400