Fort Davis Dental Associates, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN3045 Issued in DC

Legal business name

FORT DAVIS DENTAL ASSOCIATES, PLLC

Practice address

2300 Good Hope Rd SE
Suite 3
Washington, DC 20020-5147

Phone

(202) 889-8200

Fax

(202) 889-5891

NPI assigned

Feb 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Isaiah Purnell Morrison III, D.D.S.

Title

President

Phone

(202) 889-8200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1386917755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GOOD HOPE RD SE",
            "address_2": "SUITE 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205147",
            "telephone_number": "202-889-8200",
            "fax_number": "202-889-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GOOD HOPE RD SE",
            "address_2": "SUITE 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205147",
            "telephone_number": "202-889-8200",
            "fax_number": "202-889-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT DAVIS DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_middle_name": "PURNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-889-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DC",
            "license": "DEN3045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021929400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ngoudson Forsoh
• Catherine Stanbery Forster, M.D.
• Katherine Rock Forster, MS
• Matthew Kenneth Forsthoefel, M.D.
• Barbara Forsythe, HHA
• Fort Lincoln Pharmacy & Medical Equipment, LLC
• Fort Lincoln Pharmacy & Medical Equipment, LLC
• Allan Forte, PHYSICIAN ASSISTANT
• Keandra Violeta Forte, CPNP
• Akateh Relindis Forteh

• Dental Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Dental Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.