John Harlo Beschenbossel, DDS
Individual provider Active NPI General Practice Dentistry · Washington, DC
NPI 1477838308 · NPPES record last updated Oct 11, 2011
Key facts
- NPI
- 1477838308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2904 (DC)
- Practice address
- 5225 Wisconsin Ave NW
Suite 511
Washington, DC 20015-2014 - Phone
- (202) 966-0620
- Fax
- (202) 966-1509
- NPI assigned
- Oct 11, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2904 | DC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carol a Blake, DDS, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2904 | DC | Yes |
Addresses
Primary practice location
5225 Wisconsin Ave NW
Suite 511
Washington, DC 20015-2014
Mailing address
5225 Wisconsin Ave NW
Suite 511
Washington, DC 20015-2014
Phone (202) 966-0620
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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 Oct 11, 2011. 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.