Provider Demographics
NPI:1346314481
Name:CHARMAINE A FOLKES DDS, PC
Entity Type:Organization
Organization Name:CHARMAINE A FOLKES DDS, PC
Other - Org Name:TENDER DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WYNTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-203-3944
Mailing Address - Street 1:10903 INDIAN HEAD HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-4011
Mailing Address - Country:US
Mailing Address - Phone:301-203-3944
Mailing Address - Fax:301-203-3945
Practice Address - Street 1:10903 INDIAN HEAD HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-4011
Practice Address - Country:US
Practice Address - Phone:301-203-3944
Practice Address - Fax:301-203-3945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD872965OtherUNITED CONCORDIA
MD=========OtherBLUE CROSS BLUE SHEILD
MD=========OtherAETNA
MD872965OtherUNITED CONCORDIA
MD=========OtherDENTA QUEST
MD=========OtherDELTA DENTAL
MD=========Other(GEHA) GOVERNMENT EMPLOYEES HOSPITAL ASSOCCIATION