Active NPIOrganization

Ps Dental DC 1, P.c.

Dentist in Washington, District of Columbia

NPI Number1548962863
Practice location
4740 Connecticut Ave NW Apt 102, Washington, DC 20008-5604
Fax
202-364-3274
Last updated
November 10, 2025

Ps Dental DC 1, P.c. is a healthcare organization based in Washington, DC. Ps Dental DC 1, P.c. practices in Washington, DC. The NPI Number for Ps Dental DC 1, P.c. is 1548962863. The current practice location address for Ps Dental DC 1, P.c. is 4740 Connecticut Ave NW Apt 102, Washington, DC 20008-5604 and can be reached out via phone at 410-761-0095 and via fax at 202-364-3274.

Provider Profile Details

NPI Number
1548962863
Provider Name
Ps Dental DC 1, P.c.
Provider Entity Type
Organization
Address
4740 Connecticut Ave NW Apt 102, Washington, DC 20008-5604
Phone Number
410-761-0095
Fax Number
202-364-3274
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
Yes
Parent Organization
Prosmile Holding II LLC
Authorized Official
Mrs. Simone Wilson, MPA · Director Of Credentialing · 848-326-8840
Provider Enumeration Date
March 20, 2023
Last Update Date
November 10, 2025
Certification Date
November 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4740 Connecticut Ave NW Apt 102
Washington, DC 20008-5604
Zip
20008-5604
Phone Number
410-761-0095
Fax Number
202-364-3274
Washington, DC 20008Get directions →

Provider Business Mailing Address Details

Address
10 Woodbridge Center Dr Ste 520
Woodbridge, NJ 07095-1152
City
Woodbridge
State
NJ
Zip
07095-1152
Phone Number
848-326-8840

License Information

Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ps Dental DC 1, P.c.?

The NPI number of Ps Dental DC 1, P.c. is 1548962863. It was assigned on March 20, 2023 and is currently active in the NPPES registry.

What is the specialty of Ps Dental DC 1, P.c.?

Ps Dental DC 1, P.c. is registered under the primary taxonomy Dentist (code 122300000X).

Where does Ps Dental DC 1, P.c. practice?

The practice location is 4740 Connecticut Ave NW Apt 102, Washington, DC 20008-5604. The office can be reached at 410-761-0095 (phone) or 202-364-3274 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548962863 directly on the NPPES registry website.

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