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DR. OCTAVIA S SIMKINS-WISEMAN DDS
NPI 1164648010
Dentist - General Practice in Glenn Dale, MD

Active since April 18, 2007
12150 ANNAPOLIS RD, SUITE301, GLENN DALE, MD 20769(301) 249-8000(301) 249-4958 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Octavia S Simkins-wiseman Dds NPPES

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

DR. OCTAVIA S SIMKINS-WISEMAN DDS (NPI 1164648010) is an individual general practice provider in Glenn Dale, Maryland, licensed in Maryland (10983) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1164648010
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OCTAVIA S SIMKINS-WISEMANCredential: DDS
Location Address12150 ANNAPOLIS RD, SUITE301Glenn Dale, MD 20769-9183
Mailing Address12150 Annapolis Rd, Suite301Glenn Dale, MD 20769-9183 · (301) 249-8000 · Fax (301) 249-4958
Phone(301) 249-8000
Fax(301) 249-4958
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateMarch 12, 2013
✔ NPI 1164648010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 10983
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.

12150 ANNAPOLIS RD, Glenn Dale, MD 20769
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Other Identifiers 1

Other10983MD · State License

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.

ARNOLD S KIRSHENBAUM MD PA
Specialist
12150 ANNAPOLIS RD, SUITE #108
GLENN DALE, MD 20769
Prince George's County (301) 860-1200
ELAINE YOUNG BUNDY CRNP
Nurse Practitioner
12150 ANNAPOLIS RD, SUITE 108
GLENN DALE, MD 20769
Prince George's County (301) 860-1200
NWAEHIHIE HARRISON ONYEAGHALA MD
General Practice
12150 ANNAPOLIS RD, SUITE 100
GLENN DALE, MD 20769
Prince George's County (301) 464-7601
PRIME MEDICINE LLC
Internal Medicine
12150 ANNAPOLIS RD, SUITE 308
GLENN DALE, MD 20769
Prince George's County (301) 805-0006
THE BARIATRIC AND HERNIA INSTITUTE, PC
Surgery
12150 ANNAPOLIS RD, SUITE 309
GLENN DALE, MD 20769
Prince George's County (240) 206-8506
KRYSTAL MEDICAL ASSOCIATES LLC
Clinic/Center (Primary Care)
12150 ANNAPOLIS RD, SUITE 100
GLENN DALE, MD 20769
Prince George's County (301) 464-7601
RICARDO O PYFROM MD PA
Orthopaedic Surgery
12150 ANNAPOLIS RD, SUITE 305
GLENN DALE, MD 20769
Prince George's County (301) 809-2515
MUSA MARK MOMOH MD
Internal Medicine
12150 ANNAPOLIS RD, SUITE 205
GLENN DALE, MD 20769
Prince George's County (301) 805-1103

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 Octavia Simkins-wiseman's NPI number?

The NPI number for Octavia Simkins-wiseman is 1164648010. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Octavia Simkins-wiseman located?

Octavia Simkins-wiseman practices at 12150 Annapolis Rd Suite301, Glenn Dale, MD 20769. The listed phone number is (301) 249-8000.

What is Octavia Simkins-wiseman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Octavia Simkins-wiseman was last updated on March 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.