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Dr. Octavia S Simkins-wiseman, DDS
General Practice Dentistry in Glenn Dale, Maryland
NPI 1164648010

Octavia S Simkins-wiseman is a General Practice Dentistry based in Glenn Dale, MD and is specialized in General Practice. Octavia S Simkins-wiseman practices in Glenn Dale, MD and has the professional credentials of DDS. The NPI Number for Octavia S Simkins-wiseman is 1164648010 and holds a License No. 10983 (Maryland).

The current practice location address for Octavia S Simkins-wiseman is 12150 Annapolis Rd, Glenn Dale, MD and can be reached out via phone at 301-249-8000 and via fax at 301-249-4958.

Location: 12150 Annapolis Rd, Glenn Dale, MD, 20769-9183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164648010
Provider Name
Octavia S Simkins-wiseman
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
12150 Annapolis Rd, Glenn Dale, MD, 20769-9183
Phone Number
301-249-8000
Fax Number
301-249-4958
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10983 01 MD STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
12150 Annapolis Rd
City
Glenn Dale
State
Maryland
Zip
20769-9183
Phone Number
301-249-8000
Fax Number
301-249-4958
person
Provider Business Mailing Address Details
Address
12150 Annapolis Rd
City
Glenn Dale
State
Maryland
Zip
20769-9183
Phone Number
301-249-8000
Fax Number
301-249-4958
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10983 (Maryland)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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