TOMELL DUBOSE DDS PLLC (NPI# 1962064295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962064295 |
| Entity Type | Organization |
| Organization Name | TOMELL DUBOSE DDS PLLC |
| Practice Address |
5437 Conn Ave Nw Apt 203 Washington DC 20015-2706 |
| Mailing Address |
5437 Connecticut Ave Nw Apt 203 Washington DC 20015-2706 |
| Practice Telephone | 2023646550 |
| Practice Fax Number | 2024782894 |
| Mailing Telephone | 2023646550 |
| Mailing Fax Number | 2024782894 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | DR. TOMELL DUBOSE (CEO) |
| Authorized Official Telephone | 2023646550 |
| Authorized Official Credential | DR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | PRIVATE PRACTICE | 12345 | 01 |
| Other Name | Type Code |
|---|---|
| Connecticut ave Dental Implant center | Doing Business As Name - Organization |
| Street Address |
5437 CONN AVE NW APT 203 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20015-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598265944 | Family Orthodontics of Dc Pllc | Dentist | 5301 Wisconsin Ave Nw Ste 200, Washington, DC 20015 | 2018-02-12 |
| 1417351578 | Kelly Barnes | Registered Nurse | 3608 Rittenhouse St Nw, Washington, DC 20015 | 2014-10-20 |
| 1093143729 | Diana Kwan | Pharmacist | 5335 Wisconsin Ave, Washington, DC 20015 | 2013-10-15 |
| 1265867790 | Kimberly Roberts Perks | Occupational Therapist | 3200 Military Rd Nw, Washington, DC 20015 | 2013-09-03 |
| 1013356708 | Jason Douglas Wemmers | Psychologist | 5225 Wisconsin Ave, Nw, Suite 400, Washington, DC 20015 | 2013-06-17 |
| 1427364256 | Saralyn Mark | Internal Medicine | 4208 Ingomar St, Nw, Washington, DC 20015 | 2010-08-31 |
| 1205061108 | Stanley Isaac Rapoport | General Practice | 3050 Military Road Nw, Apt. 935, Washington, DC 20015 | 2009-05-20 |
| 1447410113 | Bonnie Cho | Dentist | 5212 Connecticut Ave Nw, Washington, DC 20015 | 2008-06-16 |
| 1184804015 | Daniel Samuel Pine | Psychiatry & Neurology | 5225 Wisconsin Avenue Nw, Suite 400 The Ross Center, Washington, DC 20015 | 2007-11-08 |
| 1821291659 | John M Dluhy Jr. | Psychiatry & Neurology | 3709 Ingomar St Nw, Washington, DC 20015 | 2007-06-08 |
| Find all providers in zip 20015 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922668524 | Khalid M Hussein Dds PC | Clinic/Center | 1712 I St Nw Ste 906, Washington, DC 20006-3702 | 2019-06-17 |
| 1033677901 | C. Hastings, Dds, LLC | Clinic/Center | 1709 Heritage Hills Dr, Washington, MO 63090-4621 | 2019-03-08 |
| 1639640303 | Lovitrois Dental LLC | Clinic/Center | 2316 Pennsylvania Ave Se, Washington, DC 20020-6706 | 2018-12-06 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1811472798 | Creative Smile Institute LLC | Clinic/Center | 3636 16th Street, Nw, Suite Ag 13, Washington, DC 20010-2001 | 2018-09-26 |
| 1386126258 | Capitol Endodontics Pllc | Clinic/Center | 1234 19th St Nw Ste 502, Washington, DC 20036-2446 | 2018-09-06 |
| 1215439500 | Terrijmatthewssleepwell,inc | Clinic/Center | 600 W St Nw Ofc 458, Washington, DC 20059-1022 | 2018-03-02 |
| 1184122681 | Alex Dental PC | Clinic/Center | 2311 M St Nw Ste 404, Washington, DC 20037-1468 | 2018-01-30 |
| 1649791666 | Alexas Family Dentistry | Clinic/Center | 2301 Jefferson Ave, Suite 3, Washington, PA 15301 | 2017-06-29 |
| 1093252744 | Cnmc Clinic At Dunbar Hs | Clinic/Center | 101 N Street, Ne, Washington, DC 20001-2377 | 2017-01-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20015 |
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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.