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DC SOUTHERN DENTAL PPO PC
NPI 1942013222
Dentist in Washington, DC

Active since January 30, 2025
4400 MACARTHUR BLVD NW STE 200, WASHINGTON, DC 20007(202) 333-0003 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1942013222), doing business as Georgetown Smile, is a healthcare organization registered as a dentist 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

NPI1942013222
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDC SOUTHERN DENTAL PPO PC
Location Address4400 MACARTHUR BLVD NW STE 200Washington, DC 20007-2521
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(202) 333-0003
Organization SubpartYes
Authorized OfficialErika MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1942013222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
4400 MACARTHUR BLVD NW STE 200, Washington, DC 20007
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Other Names 1

Doing Business AsGeorgetown Smile

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 1942013222. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is doing business as Georgetown Smile.

Where is Dc Southern Dental Ppo PC located?

Dc Southern Dental Ppo PC is located at 4400 Macarthur Blvd NW Ste 200, Washington, DC 20007. The listed phone number is (202) 333-0003.

What is Dc Southern Dental Ppo 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 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.