Durdana Ali, DMD
Individual provider Active NPI General Practice Dentistry · Washington, DC
NPI 1104483502 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1104483502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN1002227 (DC)
- Practice address
- 1060 Brentwood Rd NE
Washington, DC 20018-1052 - Phone
- (202) 269-4746
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1002227 | DC | MD | General Practice Dentistry |
| DN1858305 | MA | MD | General Practice Dentistry |
| 17345 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Broadway Family Dental, LLC | General Practice | Past | Accepting new patients |
| Michael G Pharris OD PC | Past | Accepting new patients | |
| Hero Vision of DC PLLC | Past |
Accepting new patients | |
| Super Smiles PLLC | General Practice | Past |
Accepting new patients |
| Hero Dental of Washington DC PC | General Practice | Past | Accepting new patients |
| Ronald B Montano DDS PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17345 | MD | |
| General Practice Dentistry | 1223G0001X | DN1858305 | MA | |
| General Practice Dentistry | 1223G0001X | DEN1002227 | DC | Yes |
Addresses
Primary practice location
1060 Brentwood Rd NE
Washington, DC 20018-1052
Mailing address
2221 E Bijou St Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 576-1850
Other practice location 1
1253 W Pratt St
Baltimore, MD 21223-2684
Phone (410) 727-4746
Other providers in Washington, DC
- Aichata Ali
- Akira Ali
- Alfia Ali
- Alima Hassen Ali
- Anab Mahamud Ali
- Eikram Mohammed Ali
- Fozia Mohammed Ali
- Hassan Ali
- Keria Ali
- Kerima Ali
All providers in Washington, DC · General Practice Dentistry in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.