ELITE DENTAL TAKOMA PARK
NPI 1679819098
Clinic/Center - Dental in Washington, DC

Active since December 13, 2012
6925 WILLOW STREET NW., SUITE#B106, WASHINGTON, DC 20012(202) 723-8284(202) 882-1127 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elite Dental Takoma Park NPPES

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

ELITE DENTAL TAKOMA PARK (NPI 1679819098), doing business as Georgia Avenue Dental Center, is a healthcare organization registered as a dental in Washington, District Of Columbia and active in the NPI registry since December 2012. The organization lists Khalfani D Walker, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1679819098
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELITE DENTAL TAKOMA PARK
Location Address6925 WILLOW STREET NW., SUITE#B106Washington, DC 20012-2000
Mailing Address6925 Willow Street Nw., Suite#b106Washington, DC 20012-2000 · (202) 723-8284 · Fax (202) 882-1127
Fax(202) 882-1127
Organization SubpartNo
Authorized OfficialKhalfani D WalkerOwner/dentist · (202) 723-8284
Enumeration DateDecember 13, 2012
Last NPPES UpdateJune 26, 2018
NPI 1679819098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 14525 (MD)
6925 WILLOW STREET NW., Washington, DC 20012

Other Names 1

Former Legal Business NameGeorgia Avenue Dental Center

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 Elite Dental Takoma Park's NPI number?

The NPI number for Elite Dental Takoma Park is 1679819098. It was assigned to this organization in the NPPES registry on December 13, 2012. The provider was formerly known as Georgia Avenue Dental Center.

Where is Elite Dental Takoma Park located?

Elite Dental Takoma Park is located at 6925 Willow Street NW. Suite#b106, Washington, DC 20012. The listed phone number is (202) 723-8284.

What is Elite Dental Takoma Park's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Elite Dental Takoma Park was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.