Cabs Dental Management LLC
Organization Active NPI General Practice Dentistry · Washington, DC
NPI 1316249758 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1316249758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DEN2111 (DC)
- Legal business name
- CABS DENTAL MANAGEMENT LLC
- Practice address
- 4214 Benning Rd. N.E.
Washington, DC 20019-4518 - Phone
- (202) 357-1445
- Fax
- (202) 399-8949
- NPI assigned
- Nov 17, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. John Wallace Saunders Jr., DDS
- Title
- Secretary
- Phone
- (202) 397-1445
National Provider Directory
Locations
4214 Benning Rd NE
Washington, DC 20019
Phone (202) 357-1445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DEN2111 | DC | Yes |
Addresses
Primary practice location
4214 Benning Rd. N.E.
Washington, DC 20019-4518
Mailing address
4214 Benning Rd. N.E.
Washington, DC 20019-4518
Phone (202) 357-1445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021914800 | Medicaid | DC |
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- Carolyn Cabrey
- Rebelin Herrera Cabusao
- Maria Cacciapuoti
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- Carla Caceres
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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 Nov 17, 2010. 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.