Healthcare Provider Details

I. General information

NPI: 1396030797
Provider Name (Legal Business Name): NATASHA PIERRE-LOUIS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATASHA JEAN-CHARLES DMD

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1147 UNIVERSITY BLVD E
TAKOMA PARK MD
20912-7444
US

IV. Provider business mailing address

3518 SHARONWOOD RD APT 4A
LAUREL MD
20724-5911
US

V. Phone/Fax

Practice location:
  • Phone: 703-382-5086
  • Fax:
Mailing address:
  • Phone: 516-652-4420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number19141
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: