DC Dental Professionals, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DC DENTAL PROFESSIONALS, P.C.

Doing business as

City Smiles DC

Practice address

919 18TH St NW Lowr LL50
Washington, DC 20006-5503

Phone

(202) 223-6300

NPI assigned

Aug 2, 2022

Organization subpart

Yes

Parent organization

DC DENTAL PROFESSIONALS, P.C.As reported in NPPES

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

Authorized official

Name

Hillary Thull

Title

Credentialing Coordinator

Phone

(217) 540-8946

Specialties & licenses 1

Addresses

Other names 1

• City Smiles DC Doing business as

Part of

DC Dental Professionals PC

Locations

Practitioners 2

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

• Mark Crocker, DDS

  • Dentist
  • Washington, DC
  • NPI 1568895985
  NPD (past)
• Stuart F Ross, DMD

  • General Practice Dentistry
  • Washington, DC
  • NPI 1063574879
  NPD (past)

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1285361055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 18TH ST NW LOWR LL50",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 18TH ST NW LOWR LL50",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200065503",
            "telephone_number": "202-223-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DC DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DC DENTAL PROFESSIONALS, P.C.",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "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": "City Smiles DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• DC Dental Center PC
• DC Dental Center PC
• DC Dental Center PC
• DC Dental Center PC
• DC Dental Legacy
• DC Dental Specialty Center, PC
• DC Dental Studio PLLC
• DC Department of Health
• DC Department of Health (DC Immunization Express Clinic)
• DC Doors Inc.

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.