NPIMap

Organization Active NPI

The Dental Group of Fort Washington

  • Oral and Maxillofacial Surgery (Dentist)
  • Oxon Hill, MD
National Provider Identifier
1003909011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9883 Issued in MD
Legal business name
THE DENTAL GROUP OF FORT WASHINGTON
Practice address
6710 Oxon Hill Rd
Suite #350
Oxon Hill, MD 20745-1121
Phone
(301) 248-3810
Fax
(301) 449-6746
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dana C. Jackson, DDSNPI 1922191915
Title
Owner
Phone
(301) 248-3810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 9883 MD Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DEN4466 DC

Addresses

Primary practice location

6710 Oxon Hill Rd
Suite #350
Oxon Hill, MD 20745-1121

Mailing address

2203 Parkside Dr
Mitchellville, MD 20721-4228
Phone (301) 390-2575

National Provider Directory

National Provider Directory

Locations

6710 Oxon Hill Rd
Ste 350
Oxon Hill, MD 20745
Phone (301) 248-3810

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003909011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 PARKSIDE DR",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207214228",
            "telephone_number": "301-390-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD",
            "address_2": "SUITE #350",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451121",
            "telephone_number": "301-248-3810",
            "fax_number": "301-449-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL GROUP OF FORT WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-248-3810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "9883",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DC",
            "license": "DEN4466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.