Provider Demographics
NPI:1598369563
Name:CONNECTION DENTAL LLC
Entity Type:Organization
Organization Name:CONNECTION DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-257-2205
Mailing Address - Street 1:8455 FENTON ST APT 309
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5013
Mailing Address - Country:US
Mailing Address - Phone:202-257-2205
Mailing Address - Fax:
Practice Address - Street 1:1131 UNIVERSITY BLVD W STE 103
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3338
Practice Address - Country:US
Practice Address - Phone:202-257-2205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental