1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Dentist
  6. NPI Profile

PRESIDENTIAL PEDIATRIC DENTISTRY & ORTHODONTICS
NPI 1114453610
Dentist - Pediatric Dentistry in Washington, DC

Active since May 04, 2017
350 EASTERN AVE NE, WASHINGTON, DC 20019(202) 248-6288(202) 248-6330 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Presidential Pediatric Dentistry & Orthodontics NPPES

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

PRESIDENTIAL PEDIATRIC DENTISTRY & ORTHODONTICS (NPI 1114453610) is a healthcare organization registered as a pediatric dentistry in Washington, District Of Columbia and active in the NPI registry since May 2017. The organization lists Kidanemariam Rozario, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1114453610
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePRESIDENTIAL PEDIATRIC DENTISTRY & ORTHODONTICS
Location Address350 EASTERN AVE NEWashington, DC 20019-2833
Mailing Address350 Eastern Ave NeWashington, DC 20019-2833 · (202) 248-6288 · Fax (202) 248-6330
Phone(202) 248-6288
Fax(202) 248-6330
Organization SubpartNo
Authorized OfficialKidanemariam RozarioPractice Manager · (202) 248-6288
Enumeration DateMay 4, 2017
✔ NPI 1114453610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in DC · DEN1001643
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
350 EASTERN AVE NE, Washington, DC 20019
Open in Google Maps ↗

Other Identifiers 1

Medicaid058025400DC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ASHLEA PERKINS
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 246-1356
BAKRI LADRON HORN
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
HABIB H MPONEZYA
Case Management
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
MIREILLE DJOUMEKOUM
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
TIONNE SCOTT
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
DOMINICK EDELEN
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
MARCUS DARRELL HOYLE
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
ANGELA B BROWN
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356

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 Presidential Pediatric Dentistry & Orthodontics's NPI number?

The NPI number for Presidential Pediatric Dentistry & Orthodontics is 1114453610. It was assigned to this organization in the NPPES registry on May 4, 2017.

Where is Presidential Pediatric Dentistry & Orthodontics located?

Presidential Pediatric Dentistry & Orthodontics is located at 350 Eastern Ave NE, Washington, DC 20019. The listed phone number is (202) 248-6288.

What is Presidential Pediatric Dentistry & Orthodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Presidential Pediatric Dentistry & Orthodontics was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.