Healthcare Provider Details

I. General information

NPI: 1053226076
Provider Name (Legal Business Name): FAITH SIMIYU DMD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11120 NEW HAMPSHIRE AVE STE 301
SILVER SPRING MD
20904-2680
US

IV. Provider business mailing address

11120 NEW HAMPSHIRE AVE STE 301
SILVER SPRING MD
20904-2680
US

V. Phone/Fax

Practice location:
  • Phone: 240-753-0646
  • Fax:
Mailing address:
  • Phone: 240-753-0646
  • 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: FAITH SIMIYU
Title or Position: DENTIST
Credential: DMD
Phone: 615-927-5456