POST OFFICE LAKE DENTAL ASSOCIATES
NPI 1962663203
Dentist - General Practice in Waldorf, MD

Q: What is Post Office Lake Dental Associates's NPI number?

The NPI number for Post Office Lake Dental Associates is 1962663203. It was assigned to this organization in the NPPES registry on June 19, 2008.

Q: What is Post Office Lake Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 19, 2008

603 POST OFFICE RD STE 208, WALDORF, MD 20602(301) 870-7077(301) 843-8030 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Post Office Lake Dental Associates NPPES

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

POST OFFICE LAKE DENTAL ASSOCIATES (NPI 1962663203) is a healthcare organization registered as a general practice in Waldorf, Maryland and active in the NPI registry since June 2008. The organization lists Kameasa Lavonne Johnson, Office Contact, as its authorized official.

NPPES Registry Identity

NPI1962663203

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePOST OFFICE LAKE DENTAL ASSOCIATES

Location Address603 POST OFFICE RD STE 208Waldorf, MD 20602-1914

Mailing Address603 Post Office Rd Ste 208Waldorf, MD 20602-1914 · (301) 870-7077 · Fax (301) 843-8030

Phone(301) 870-7077

Fax(301) 843-8030

Organization SubpartNo

Authorized OfficialKameasa Lavonne JohnsonOffice Contact · (301) 870-7077

Enumeration DateJune 19, 2008

✔ NPI 1962663203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MD · 10857

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.

603 POST OFFICE RD STE 208, Waldorf, MD 20602

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Other Identifiers 3

Medicaid775954160MD

Medicaid4133552 00MD

Medicaid776024860MD

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 Post Office Lake Dental Associates's NPI number?

The NPI number for Post Office Lake Dental Associates is 1962663203. It was assigned to this organization in the NPPES registry on June 19, 2008.

Where is Post Office Lake Dental Associates located?

Post Office Lake Dental Associates is located at 603 Post Office Rd Ste 208, Waldorf, MD 20602. The listed phone number is (301) 870-7077.

What is Post Office Lake Dental Associates'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 Post Office Lake Dental Associates was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.