United States Air Force

Organization Active NPI General Practice Dentistry · Andrews Afb, MD

NPI 1295898914 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295898914
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
15899 (TX)
Legal business name
UNITED STATES AIR FORCE
Practice address
1601 California Ave
Andrews Afb, MD 20762
Phone
(240) 857-2809
NPI assigned
Dec 18, 2006
Organization subpart
No

Authorized official

Name
David Chiesa, DDS
Title
Commander
Phone
(240) 857-2809

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 15899 TX Yes

Addresses

Primary practice location

1601 California Ave
Andrews Afb, MD 20762

Mailing address

1601 California Ave
Andrews Afb, MD 20762

Other providers in Andrews Afb, MD

All providers in Andrews Afb, MD · General Practice Dentistry in Maryland

Sources for this page

Verify at the official NPI Registry.