Provider Demographics
NPI:1891890810
Name:JOHNSON, SIBEL TASCI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SIBEL
Middle Name:TASCI
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SIBEL
Other - Middle Name:BELKIS
Other - Last Name:TASCI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:19735 GERMANTOWN RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1214
Mailing Address - Country:US
Mailing Address - Phone:301-537-4188
Mailing Address - Fax:
Practice Address - Street 1:19735 GERMANTOWN RD
Practice Address - Street 2:SUITE 225
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1214
Practice Address - Country:US
Practice Address - Phone:301-537-4188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD118231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice