| NPI | 1174109425 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-03-18 |
| Last Updated | 2021-03-18 |
| Authorized Official | Kenneth Sullivan Director of Patient Revenue Phone: 2126863686 |
| Mailing Address | 5505 N Cumberland Ave Ste 307 Chicago, IL 60656-4761 United States Phone: (212) 686-3686 | Fax: (615) 468-0325 📍 View Map |
| Primary Practice Address | 600 Pennsylvania Ave Nw Washington, DC 20580-0001 United States Phone: (212) 686-3686 | Fax: (615) 468-0325 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223G0001X – Dentist, General Practice | - | - |
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About NPI 1174109425
Life Bridge Dental Dc Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174109425. The primary specialty listed is Dentist, General Practice. The organization is located in Washington, DC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-03-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174109425?
NPI 1174109425 belongs to Life Bridge Dental Dc Pllc, a Dentist, General Practice in Washington, DC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174109425 active?
The current status of NPI 1174109425 in the NPPES registry is Active. The record was last updated on 2021-03-18.
What specialty is NPI 1174109425?
NPI 1174109425 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174109425?
You can verify NPI 1174109425 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174109425?
The primary practice address on file for NPI 1174109425 is 600 Pennsylvania Ave Nw, Washington, DC 20580-0001. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174109425 issued?
NPI 1174109425 was first issued (enumerated) on 2021-03-18. The NPPES record was last updated on 2021-03-18.
Practice Location Map
Life Bridge Dental Dc Pllc is located at 600 Pennsylvania Ave Nw, Washington, DC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Life Bridge Dental Dc Pllc. All records sourced from the CMS NPPES registry.