Matias Cima, DDS

Individual provider Active NPI General Practice Dentistry · Washington, DC

NPI 1639726243 · NPPES record last updated Aug 20, 2019

Key facts

NPI
1639726243
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DEN1002032 (DC)
Practice address
4400 Jenifer St NW Ste 340
Washington, DC 20015-2086
Phone
(202) 686-9100
Fax
(202) 363-2249
NPI assigned
Aug 20, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DEN1002032DCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1002032 DC Yes

Addresses

Primary practice location

4400 Jenifer St NW Ste 340
Washington, DC 20015-2086

Mailing address

4400 Jenifer St NW Ste 340
Washington, DC 20015-2086
Phone (202) 686-9100

Other providers in Washington, DC

All providers in Washington, DC · General Practice Dentistry in District of Columbia

Sources for this page

Verify at the official NPI Registry.