Provider Demographics
NPI:1760832042
Name:ALBERT M QUASHIE DDS PC
Entity Type:Organization
Organization Name:ALBERT M QUASHIE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:QUASHIE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-559-1500
Mailing Address - Street 1:3331 TOLEDO TER
Mailing Address - Street 2:308
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-4152
Mailing Address - Country:US
Mailing Address - Phone:301-559-1500
Mailing Address - Fax:301-559-7154
Practice Address - Street 1:3331 TOLEDO TER
Practice Address - Street 2:308
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-4152
Practice Address - Country:US
Practice Address - Phone:301-559-1500
Practice Address - Fax:301-559-7154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14227305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization