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MITCHELLVILLE FAMILY DENTISTRY
NPI 1548536949
Dentist in Glenn Dale, MD

Active since March 29, 2012
12150 ANNAPOLIS ROAD, SUITE 301, GLENN DALE, MD 20769(301) 249-8000(301) 249-4958 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchellville Family Dentistry NPPES

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

MITCHELLVILLE FAMILY DENTISTRY (NPI 1548536949) is a healthcare organization registered as a dentist in Glenn Dale, Maryland and active in the NPI registry since March 2012. The organization lists Octavia Simkins-wiseman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548536949
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameOCTAVIA SIMKINS-WISEMAN DDS PC
Location Address12150 ANNAPOLIS ROAD, SUITE 301Glenn Dale, MD 20769
Mailing Address12150 Annapolis Road, Suite 301Glenn Dale, MD 20769 · (301) 249-2862 · Fax (301) 249-4958
Phone(301) 249-8000
Fax(301) 249-4958
Organization SubpartNo
Authorized OfficialOctavia Simkins-wisemanCeo · (240) 393-9861
Enumeration DateMarch 29, 2012
Last NPPES UpdateMarch 18, 2013
✔ NPI 1548536949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 10983
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12150 ANNAPOLIS ROAD, Glenn Dale, MD 20769
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Other Names 1

Doing Business AsMitchellville Family Dentistry

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 2

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

DR. RHONDA NELSON DPM
Podiatrist
12150 ANNAPOLIS ROAD, SUITE 109
GLENN DALE, MD 20769
Prince George's County (301) 773-1199
DR. OLUMUYIWA A PAUL MD
Specialist
12150 ANNAPOLIS ROAD, SUITE 305
GLENN DALE, MD 20769
Prince George's County (240) 245-4203

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 Dds PC's NPI number?

The NPI number for Octavia Simkins-Wiseman Dds PC is 1548536949. It was assigned to this organization in the NPPES registry on March 29, 2012. The provider is doing business as Mitchellville Family Dentistry.

Where is Octavia Simkins-Wiseman Dds PC located?

Octavia Simkins-Wiseman Dds PC is located at 12150 Annapolis Road Suite 301, Glenn Dale, MD 20769. The listed phone number is (301) 249-8000.

What is Octavia Simkins-Wiseman Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Octavia Simkins-Wiseman Dds PC was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.