Provider Demographics
NPI:1710266465
Name:LESTER, CAITLIN DARCEY (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:DARCEY
Last Name:LESTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 RIDGEPOINT PL
Mailing Address - Street 2:UNIT #16
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5692
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8901 WISCONSIN AVENUE
Practice Address - Street 2:NNMC/PERIODONTICS DEPARTMENT
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5611
Practice Address - Country:US
Practice Address - Phone:301-295-0077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15035122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist