DR. DEREJEW KIFLE TESSEMA


Address: 3912 Georgia Ave Nw, Washington, DC 20011-5861
Phone: 2024838196

DR. DEREJEW KIFLE TESSEMA (NPI# 1215380548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215380548
Entity Type Individual
Full Name DR. DEREJEW KIFLE TESSEMA
Credential DDS
Practice Address 3912 Georgia Ave Nw
Washington
DC 20011-5861
Mailing Address 10621 Whiterock Ct
Laurel
MD 20723-1260
Practice Telephone 2024838196
Enumeration Date 2016-07-21
Last Update Date 2016-10-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DEN1001654 DC Dental Providers
N 122300000X Dentist 16062 MD Dental Providers

Office Location

Street Address 3912 GEORGIA AVE NW
City WASHINGTON
State DC
Zip Code 20011-5861

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1164864385 Melissa Joan Sanchez Nurse Practitioner 3912 Georgia Ave Nw, Washington, DC 20011-5861 2013-07-30
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1932455185 Benito Ramon Mendoza Registered Nurse 3912 Georgia Ave Nw, Washington, DC 20011-5861 2012-07-25
1023305158 Megan Ann Murphy Nurse Practitioner 3912 Georgia Ave Nw, Washington, DC 20011-5861 2011-07-11
1346549607 Dana Catherine Mueller Internal Medicine 3912 Georgia Ave Nw, Washington, DC 20011-5861 2011-03-24
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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Competitor

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City WASHINGTON
Zip Code 20011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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