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PETWORTH FAMILY DENTAL
NPI 1407205032
Dentist - General Practice in Washington, DC

Active since June 04, 2016
4018 GEORGIA AVE NW, WASHINGTON, DC 20011(202) 829-4319 Get Directions Write a Review

NPPES record last updated: June 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petworth Family Dental NPPES

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

PETWORTH FAMILY DENTAL (NPI 1407205032) is a healthcare organization registered as a general practice in Washington, District Of Columbia and active in the NPI registry since June 2016. The organization lists Maury Branch, Owner, as its authorized official.

NPPES Registry Identity

NPI1407205032
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePETWORTH FAMILY DENTAL
Location Address4018 GEORGIA AVE NWWashington, DC 20011-5857
Mailing Address4018 Georgia Ave NwWashington, DC 20011-5857 · (202) 829-4319
Phone(202) 829-4319
Organization SubpartNo
Authorized OfficialMaury BranchOwner · (202) 829-4319
Enumeration DateJune 4, 2016
✔ NPI 1407205032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4018 GEORGIA AVE NW, Washington, DC 20011
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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 3

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

DR. LATOYA SYMONE AMBROSE DDS
Dentist (General Practice)
4018 GEORGIA AVE NW
WASHINGTON, DC 20011
District of Columbia (202) 829-4319
DR. BRIAN C. DAVIS D.D.S
Dentist (Endodontics)
4018 GEORGIA AVE NW
WASHINGTON, DC 20011
District of Columbia (202) 489-5567
DR. MAURY BRANCH III DDS
Dentist (General Practice)
4018 GEORGIA AVE NW
WASHINGTON, DC 20011
District of Columbia (202) 829-4319

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 Petworth Family Dental's NPI number?

The NPI number for Petworth Family Dental is 1407205032. It was assigned to this organization in the NPPES registry on June 4, 2016.

Where is Petworth Family Dental located?

Petworth Family Dental is located at 4018 Georgia Ave NW, Washington, DC 20011. The listed phone number is (202) 829-4319.

What is Petworth Family Dental'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 Petworth Family Dental was last updated on June 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.