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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: July 19, 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.

PRESIDENTIAL PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
Dentist (Pediatric Dentistry)
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-6288
JANA C. TAYLOR MSW, LICSW, CPHQ
Social Worker (Clinical)
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
GANI NWAOGBE
Home Health Aide
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
DANIEL NKWONG MENKEM
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
KOLAWOLE OLUWAFEMI JEJE
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356
ELVIS N NDUGE
Case Manager/Care Coordinator
350 EASTERN AVE NE
WASHINGTON, DC 20019
District of Columbia (202) 248-1356

Frequently Asked Questions

What is PRESIDENTIAL PEDIATRIC DENTISTRY & ORTHODONTICS's NPI number?

The NPI number assigned to this healthcare provider is 1114453610, enumerated as an "organization" on May 04, 2017.

Where is the provider located?

The provider is located at 350 EASTERN AVE NE WASHINGTON, DC 20019 and the phone number is (202) 248-6288.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does PRESIDENTIAL PEDIATRIC DENTISTRY & ORTHODONTICS accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.