Provider Demographics
NPI:1336691450
Name:CAPITOL HILL PEDIATRIC DENTISTRY
Entity Type:Organization
Organization Name:CAPITOL HILL PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SIAMAK
Authorized Official - Middle Name:SY
Authorized Official - Last Name:MAJIDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:240-418-6103
Mailing Address - Street 1:650 PENNSYLVANIA AVE SE
Mailing Address - Street 2:220
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4318
Mailing Address - Country:US
Mailing Address - Phone:240-418-6103
Mailing Address - Fax:866-727-8958
Practice Address - Street 1:650 PENNSYLVANIA AVE SE
Practice Address - Street 2:220
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4318
Practice Address - Country:US
Practice Address - Phone:240-418-6103
Practice Address - Fax:866-727-8958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10008161223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty