PREMIERE ORTHO-PEDO PLLC
NPI 1003234360
Dentist - Orthodontics and Dentofacial Orthopedics in Washington, DC

Active since April 03, 2014
437 CEDAR ST NW, WASHINGTON, DC 20012(202) 725-7735 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premiere Ortho-pedo Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIERE ORTHO-PEDO PLLC (NPI 1003234360) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Washington, District Of Columbia and active in the NPI registry since April 2014. The organization lists Marvin Bonfuan Ngwafon, President, as its authorized official.

NPPES Registry Identity

NPI1003234360
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePREMIERE ORTHO-PEDO PLLC
Location Address437 CEDAR ST NWWashington, DC 20012-1931
Mailing AddressPo Box 55474Washington, DC 20040-5474 · (202) 725-7735
Organization SubpartNo
Authorized OfficialMarvin Bonfuan NgwafonPresident · (202) 725-7735
Enumeration DateApril 3, 2014
Last NPPES UpdateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
NPI 1003234360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in DC · DEN1000997
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License DEN1001349 (DC)
437 CEDAR ST NW, Washington, DC 20012

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
437 CEDAR ST NW
WASHINGTON, DC 20012
Dentist
437 CEDAR ST NW
WASHINGTON, DC 20012
Dentist
437 CEDAR ST NW
WASHINGTON, DC 20012
Dentist (General Practice)
437 CEDAR ST NW
WASHINGTON, DC 20012
Dentist (Orthodontics and Dentofacial Orthopedics)
437 CEDAR ST NW
WASHINGTON, DC 20012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premiere Ortho-Pedo PLLC's NPI number?

The NPI number for Premiere Ortho-Pedo PLLC is 1003234360. It was assigned to this organization in the NPPES registry on April 3, 2014.

Where is Premiere Ortho-Pedo PLLC located?

Premiere Ortho-Pedo PLLC is located at 437 Cedar St NW, Washington, DC 20012. The listed phone number is (202) 725-7735.

What is Premiere Ortho-Pedo PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Premiere Ortho-Pedo PLLC was last updated on November 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.