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DC Southern Dental Ppo PC — NPI 1457164758, Washington, DC | NPI Central

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OrganizationActive

DC Southern Dental Ppo PC

NPI 1457164758 · Denturist · Washington, DC

Provider details

NPI number: 1457164758
Entity type: Organization
Primary specialty: DenturistDental Providers
Parent organization: DC Southern Dental Ppo PC
Organization subpart: Yes
Authorized official: Erika Menjivar, Sr. Credentialing Specialist(469) 596-6137

Specialties & taxonomies

DenturistPrimary122400000X
Dental Providers

Practice location

1625 K St Nw # Ll

Washington, DC 20006-1604

Phone: (202) 463-2090

Approximate (ZIP-level) locationGet directions

More DC providers

Mailing address

5830 Granite Pkwy Ste 780m

Plano, TX 75024-6775

Other names (DBA / former)

Doing business as: Phillips, Cooper & Associates

Registry dates

Enumerated: 2025-01-30
Last updated: 2025-01-30
Certified: 2025-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.