Healthcare Provider Details

I. General information

NPI: 1942115894
Provider Name (Legal Business Name): REKESHIA LASHELLE COLE RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 ANNAPOLIS RD
HYATTSVILLE MD
20784-2129
US

IV. Provider business mailing address

207 LANGDON FARM CIR
ODENTON MD
21113-2904
US

V. Phone/Fax

Practice location:
  • Phone: 301-577-6333
  • Fax:
Mailing address:
  • Phone: 443-554-1533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number0396
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: