IndividualActive
Charles Dietrich, DDS
NPI 1609002088 · General Practice Dentistry · Washington, DC
Provider details
- NPI number
- 1609002088
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- DEN 3288 (DC)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
5028 Wisconsin Ave Nw
Suite 102
Washington, DC 20016-4118
Phone: (202) 363-6177
Approximate (ZIP-level) locationGet directions
Mailing address
5028 Wisconsin Ave Nw
Washington, DC 20016-4118
Registry dates
- Enumerated
- 2009-05-30
- Last updated
- 2009-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.