DC SOUTHERN DENTAL PPO PC
NPI 1457164758
Denturist in Washington, DC

Active since January 30, 2025
1625 K ST NW # LL, WASHINGTON, DC 20006(202) 463-2090 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dc Southern Dental Ppo Pc NPPES

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

DC SOUTHERN DENTAL PPO PC (NPI 1457164758), doing business as Phillips, Cooper & Associates, is a healthcare organization registered as a denturist in Washington, District Of Columbia and active in the NPI registry since January 2025. The organization lists Erika Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1457164758
Entity TypeOrganization
Primary Taxonomy122400000X
Legal Business NameDC SOUTHERN DENTAL PPO PC
Location Address1625 K ST NW # LLWashington, DC 20006-1604
Mailing Address5830 Granite Pkwy Ste 780mPlano, TX 75024-6775
Organization SubpartYes
Authorized OfficialErika MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1457164758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
1625 K ST NW # LL, Washington, DC 20006

Other Names 1

Doing Business AsPhillips, Cooper & Associates

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

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 Dc Southern Dental Ppo PC's NPI number?

The NPI number for Dc Southern Dental Ppo PC is 1457164758. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is doing business as Phillips, Cooper & Associates.

Where is Dc Southern Dental Ppo PC located?

Dc Southern Dental Ppo PC is located at 1625 K St NW # Ll, Washington, DC 20006. The listed phone number is (202) 463-2090.

What is Dc Southern Dental Ppo PC's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Dc Southern Dental Ppo PC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.