1. Home
  2. Directory
  3. Maryland
  4. Oxon Hill
  5. Dentist
  6. NPI Profile

DEREJE BEREDED DDS,LLC
NPI 1821377755
Dentist - General Practice in Oxon Hill, MD

Active since August 09, 2011
803 SOUTHERN AVE, OXON HILL, MD 20745(301) 505-2550(301) 505-6676 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dereje Bereded Dds,llc NPPES

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

DEREJE BEREDED DDS,LLC (NPI 1821377755) is a healthcare organization registered as a general practice in Oxon Hill, Maryland and active in the NPI registry since August 2011. The organization lists Dereje Bereded, Manager, as its authorized official.

NPPES Registry Identity

NPI1821377755
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEREJE BEREDED DDS,LLC
Location Address803 SOUTHERN AVEOxon Hill, MD 20745-3462
Mailing Address803 Southern AveOxon Hill, MD 20745-3462 · (301) 505-2550 · Fax (301) 505-6676
Phone(301) 505-2550
Fax(301) 505-6676
Organization SubpartNo
Authorized OfficialDereje BerededManager · (301) 505-2550
Enumeration DateAugust 9, 2011
Last NPPES UpdateJuly 5, 2019
✔ NPI 1821377755 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.
803 SOUTHERN AVE, Oxon Hill, MD 20745
Open in Google Maps ↗

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.

GOODHOPE FAMILY DENTAL
Dentist
803 SOUTHERN AVE
OXON HILL, MD 20745
Prince George's County (301) 505-2550
FAMILY FIRST DENTAL
Dentist
803 SOUTHERN AVE
OXON HILL, MD 20745
Prince George's County (301) 505-2550

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 Dereje Bereded Dds,llc's NPI number?

The NPI number for Dereje Bereded Dds,llc is 1821377755. It was assigned to this organization in the NPPES registry on August 9, 2011.

Where is Dereje Bereded Dds,llc located?

Dereje Bereded Dds,llc is located at 803 Southern Ave, Oxon Hill, MD 20745. The listed phone number is (301) 505-2550.

What is Dereje Bereded Dds,llc'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 Dereje Bereded Dds,llc was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.