Healthcare Provider Details

I. General information

NPI: 1184572794
Provider Name (Legal Business Name): NEXUS DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 SOUTHERN AVE SE
OXON HILL MD
20745
US

IV. Provider business mailing address

1313 SOUTHERN AVE SOUTHEAST
OXON HILL MD
20745
US

V. Phone/Fax

Practice location:
  • Phone: 703-786-1413
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MULUALEM ASSEFA
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 703-786-1413