IndividualActive
Monette Shuutleworth, DDS/PERIODONTIST
NPI 1417030495 · Periodontics · Washington, DC
Provider details
- NPI number
- 1417030495
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS/PERIODONTIST
- Sex
- Female
- Sole proprietor
- No
- License
- 10006 (MD)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
5225 Wisconsin Ave Nw Suite #511
Washington, DC 20015
Phone: (202) 966-0620
Fax: (240) 314-7199
Approximate (ZIP-level) locationGet directions
Mailing address
25 Rich Branch Ct
Gaithersburg, MD 20878
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2008-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.