Provider Demographics
NPI:1710116181
Name:MINEHART, ANN M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:MINEHART
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 I ST NW STE 800
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-3740
Mailing Address - Country:US
Mailing Address - Phone:202-872-8200
Mailing Address - Fax:
Practice Address - Street 1:3818 DAVIS PL NW APT 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-1355
Practice Address - Country:US
Practice Address - Phone:772-285-5484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN3854122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist