Organization Active NPI

Metro Dental Health PLLC

Doing business as Metro Dental Health

  • General Practice Dentistry
  • Washington, DC
National Provider Identifier
1255789541
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
METRO DENTAL HEALTH PLLC
Doing business as
Metro Dental Health
Practice address
2112 F St NW
Suite 203
Washington, DC 20037-2715
Phone
(202) 363-5720
Fax
(703) 934-4705
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Jaklin Bezik, DDS, MDSNPI 1356480552
Title
Owner
Phone
(703) 934-4474

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2112 F St NW
Suite 203
Washington, DC 20037-2715

Mailing address

8370 Greensboro Dr
Apt 901
MC Lean, VA 22102-3515
Phone (703) 934-4474

Other names 1

  • Metro Dental Health Doing business as

National Provider Directory

National Provider Directory

Locations

2112 F St NW
Ste 203
Washington, DC 20037
Phone (202) 363-5720

Practitioners & affiliated clinicians

Practitioners 1

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": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1255789541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 GREENSBORO DR",
            "address_2": "APT 901",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023515",
            "telephone_number": "703-934-4474",
            "fax_number": "703-934-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW",
            "address_2": "SUITE 203",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372715",
            "telephone_number": "202-363-5720",
            "fax_number": "703-934-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO DENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "BEZIK",
        "authorized_official_first_name": "JAKLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-934-4474",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.