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NPI Code Detail

MEDICARE: THE NEIGHBORHOOD DENTIST LLC

MEDICARE: THE NEIGHBORHOOD DENTIST LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1952046310
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE NEIGHBORHOOD DENTIST LLC
Provider Business Mailing Address
First Line : 823 BOOKER DR
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-1833
Country : US
Telephone Number : 202-704-9593
Fax Number :
Provider Business Practice Location Address
First Line : 9300 LOTTSFORD RD STE 400
Second Line :
City : LARGO
State : MD
Zip : 20774-4886
Country : US
Telephone Number : 240-232-2844
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : DR. AMSTRONG NJINGUET
Credential : DDS
Telephone Number : 202-704-9593
Provider Enumeration Date : 04/30/2022
Last Update Date : 04/30/2022

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Directions to “THE NEIGHBORHOOD DENTIST LLC ” Practice Location

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