OrganizationActive
Octavia Simkins-Wiseman DDS PC
NPI 1548536949 · Dentist · Glenn Dale, MD
Octavia Simkins-Wiseman DDS PC is a Dentist organization in Glenn Dale, MD (NPI 1548536949).
Provider details
- NPI number
- 1548536949
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Octavia Simkins-Wiseman, Ceo(240) 393-9861
- License
- 10983 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12150 Annapolis Road
Suite 301
Glenn Dale, MD 20769
Phone: (301) 249-8000
Fax: (301) 249-4958
Street-level locationGet directions
Mailing address
12150 Annapolis Road
Glenn Dale, MD 20769
Other names (DBA / former)
- Doing business as
- Mitchellville Family Dentistry
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2013-03-18
Frequently asked questions
- What is Octavia Simkins-Wiseman DDS PC's NPI number?
- Octavia Simkins-Wiseman DDS PC's National Provider Identifier (NPI) is 1548536949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Octavia Simkins-Wiseman DDS PC?
- Octavia Simkins-Wiseman DDS PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Octavia Simkins-Wiseman DDS PC located?
- Octavia Simkins-Wiseman DDS PC's practice location on file with NPPES is 12150 Annapolis Road, Glenn Dale, MD 20769.
- What is Octavia Simkins-Wiseman DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Octavia Simkins-Wiseman DDS PC is (301) 249-8000.
- Who is the authorized official for Octavia Simkins-Wiseman DDS PC?
- The authorized official listed on Octavia Simkins-Wiseman DDS PC's NPPES record is Octavia Simkins-Wiseman, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Octavia Simkins-Wiseman DDS PC's NPI active?
- Yes — Octavia Simkins-Wiseman DDS PC's NPI (1548536949) is active in the NPPES registry as of the last update on 2013-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.