Provider Demographics
NPI:1861366148
Name:EKE DENTAL LLC DBA KENSINGTON PEDIATRIC DENTISTRY
Entity type:Organization
Organization Name:EKE DENTAL LLC DBA KENSINGTON PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINELO
Authorized Official - Middle Name:ROSE-ENDERLINE
Authorized Official - Last Name:EKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-237-6994
Mailing Address - Street 1:10605 CONCORD ST STE 301
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-2532
Mailing Address - Country:US
Mailing Address - Phone:301-301-1861
Mailing Address - Fax:301-301-1924
Practice Address - Street 1:10605 CONCORD ST STE 301
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2532
Practice Address - Country:US
Practice Address - Phone:301-301-1861
Practice Address - Fax:301-301-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty