DEREJE BEREDED DDS,LLC (NPI# 1821377755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821377755 |
| Entity Type | Organization |
| Organization Name | DEREJE BEREDED DDS,LLC |
| Practice Address |
803 Southern Ave Oxon Hill MD 20745-3462 |
| Practice Telephone | 3015052550 |
| Practice Fax Number | 3015056676 |
| Mailing Telephone | 3015052550 |
| Mailing Fax Number | 3015056676 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | DR. DEREJE BEREDED (MANAGER) |
| Authorized Official Telephone | 3015052550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
803 SOUTHERN AVE |
| City | OXON HILL |
| State | MD |
| Zip Code | 20745-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699191247 | Goodhope Family Dental | Dentist | 803 Southern Ave, Oxon Hill, MD 20745-3462 | 2014-03-06 |
| 1710302690 | Family First Dental | Dentist | 803 Southern Ave, Oxon Hill, MD 20745-3462 | 2014-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568086304 | Envue Eye & Laser Center LLC | Ophthalmology | 251 Harbor Blvd, Oxon Hill, MD 20745 | 2020-06-06 |
| 1902441264 | Dean Hasan | Pharmacist | 6163 Oxon Hill Road, National Harbor, MD 20745 | 2019-11-11 |
| 1093360570 | Ebony D Mckinley | Social Worker | 6188 Oxon Hill Road Suite 500, Oxon Hill, MD 20745 | 2019-08-02 |
| 1134691579 | Lisa Mellynchuk | Occupational Therapist | 1400 Nalley Terrance, Room 16, Landover, MD 20745 | 2018-12-26 |
| 1083102438 | Prince George's County Health Department | Family Medicine | 6701 Leyte Drive, Oxon Hill, MD 20745 | 2018-05-01 |
| 1841710746 | Courtnee Carroll | Technician | 5612 Dundalk Dr, Oxon Hill, MD 20745 | 2017-06-21 |
| 1699217679 | Charity Oronos | Physical Therapist | 6981 Oxon Hill Rd, Oxon Hill, MD 20745 | 2016-11-08 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1427487644 | Harborside Urgent Care | Clinic/Center | 215 American Way, National Harbor, MD 20745 | 2013-11-07 |
| 1417385840 | Nursing Unlimited Services, Inc | Home Health | 909 East Meadow Ct, Oxon Hill, MD 20745 | 2013-10-22 |
| Find all providers in zip 20745 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336665934 | Drs. O'neal, Bishara & Associates, LLC | Dentist | 6188 Oxon Hill Rd Ste 200, Oxon Hill, MD 20745-3157 | 2017-08-16 |
| 1689004913 | Gerald Jerome Smith | Dentist | 5306 Wheeler Road, Oxon Hill, MD 20745 | 2013-11-22 |
| 1619237229 | Neibauer Dental Care, PC | Dentist | 6383 Oxon Hill Rd, Oxon Hill, MD 20745-2236 | 2012-05-17 |
| 1942435169 | Quentin E. Monroe Dental Services,pc | Dentist | 5448 Saint Barnabas Rd, Oxon Hill, MD 20745-3622 | 2009-05-18 |
| 1326227984 | Roy L Mitchell | Dentist | 6188 Oxon Hill, 810, Oxon Hill, MD 20745 | 2007-10-31 |
| 1184816282 | Dawn Tyler | Dentist | 30 Audrey Ln, Oxon Hill, MD 20745-1301 | 2007-08-13 |
| 1558576793 | Quentin E Monroe | Dentist | 5448 St Barnabas Rd, Oxon Hill, MD 20745 | 2007-05-11 |
| 1245456318 | Sheriff B Daramy Sr. | Dentist | 6196 Oxon Hill Rd Ste 540, Oxon Hill, MD 20745-3112 | 2007-04-17 |
| 1669505202 | Michelle Dimilo Burdine-merai | Dentist | 6188 Oxon Hill Rd Ste 400, Oxon Hill, MD 20745-3154 | 2007-03-13 |
| 1316084924 | Patricia Elizabeth Van Story | Dentist | 1004 White Oak Dr, Oxon Hill, MD 20745-1739 | 2007-01-31 |
| Find all providers in OXON HILL | ||||
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| 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.