Provider Demographics
NPI:1952046310
Name:THE NEIGHBORHOOD DENTIST LLC
Entity Type:Organization
Organization Name:THE NEIGHBORHOOD DENTIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AMSTRONG
Authorized Official - Middle Name:
Authorized Official - Last Name:NJINGUET
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-704-9593
Mailing Address - Street 1:823 BOOKER DR
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743-1833
Mailing Address - Country:US
Mailing Address - Phone:202-704-9593
Mailing Address - Fax:
Practice Address - Street 1:9300 LOTTSFORD RD STE 400
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-4886
Practice Address - Country:US
Practice Address - Phone:240-232-2844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental