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FIDEL DENTAL GROUP, PLLC
NPI 1912363573
Dentist - Pediatric Dentistry in Washington, DC

Active since January 12, 2016
4400 JENIFER ST NW, SUITE 335, WASHINGTON, DC 20015(202) 362-7413 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fidel Dental Group, Pllc NPPES

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

FIDEL DENTAL GROUP, PLLC (NPI 1912363573) is a healthcare organization registered as a pediatric dentistry in Washington, District Of Columbia and active in the NPI registry since January 2016. The organization lists Juliana Benini, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912363573
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFIDEL DENTAL GROUP, PLLC
Location Address4400 JENIFER ST NW, SUITE 335Washington, DC 20015-2113
Mailing Address4400 Jenifer St Nw, Suite 335Washington, DC 20015-2113 · (202) 362-7413
Phone(202) 362-7413
Organization SubpartNo
Authorized OfficialJuliana BeniniOffice Manager · (202) 362-7413
Enumeration DateJanuary 12, 2016
✔ NPI 1912363573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in DC · DEN5886
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DEN1001296 (DC)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License DEN5669 (DC)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License DEN1000570 (DC)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License DEN1000355 (DC)
4400 JENIFER ST NW, Washington, DC 20015
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

LISA GEORGE MS OTR/L
Occupational Therapist (Pediatrics)
4400 JENIFER ST NW, SUITE 280
WASHINGTON, DC 20015
District of Columbia (202) 244-8089
ELIZABETH M BAUGHER OT
Occupational Therapist
4400 JENIFER ST NW, 280
WASHINGTON, DC 20015
District of Columbia (202) 244-8089
WALTER JOHN MAZZELLA DDS, MS
Dentist
4400 JENIFER ST NW, #335
WASHINGTON, DC 20015
District of Columbia (202) 966-3132
MS. STACY COYLE PSY.D., LP
Psychologist (Clinical)
4400 JENIFER ST NW, SUITE 280
WASHINGTON, DC 20015
District of Columbia (202) 642-2214
MS. REBECCA PARKS
Occupational Therapist (Pediatrics)
4400 JENIFER ST NW, SUITE #280
WASHINGTON, DC 20015
District of Columbia (202) 244-8089
GEORGETOWN ORAND & MAX SURGERY
Clinic/Center (Oral and Maxillofacial Surgery)
4400 JENIFER ST NW, SUITE 270
WASHINGTON, DC 20015
District of Columbia (202) 364-9400
SENSATIONAL KIDS THERAPY LLC
Occupational Therapist (Pediatrics)
4400 JENIFER ST NW, SUITE 280
WASHINGTON, DC 20015
District of Columbia (202) 244-8089

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 Fidel Dental Group, PLLC's NPI number?

The NPI number for Fidel Dental Group, PLLC is 1912363573. It was assigned to this organization in the NPPES registry on January 12, 2016.

Where is Fidel Dental Group, PLLC located?

Fidel Dental Group, PLLC is located at 4400 Jenifer St NW Suite 335, Washington, DC 20015. The listed phone number is (202) 362-7413.

What is Fidel Dental Group, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fidel Dental Group, PLLC was last updated on January 12, 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.