Provider Demographics
NPI:1720201734
Name:ALMO, JEFFRERY EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFRERY
Middle Name:EDWARD
Last Name:ALMO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 HORSE SHOE DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182
Mailing Address - Country:US
Mailing Address - Phone:703-749-1610
Mailing Address - Fax:202-362-7191
Practice Address - Street 1:3601 CONNECTICUT AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2406
Practice Address - Country:US
Practice Address - Phone:202-362-5596
Practice Address - Fax:202-362-7191
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN35801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice