Provider Demographics
NPI:1912100876
Name:TAPLIN, DEDERIC Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEDERIC
Middle Name:Y
Last Name:TAPLIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 MASSACHUSETTS AVE NW
Mailing Address - Street 2:SUITE 631
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-6200
Mailing Address - Country:US
Mailing Address - Phone:202-621-7710
Mailing Address - Fax:202-621-7710
Practice Address - Street 1:2108 18TH ST NW
Practice Address - Street 2:SUITE 1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-1891
Practice Address - Country:US
Practice Address - Phone:202-234-8998
Practice Address - Fax:202-234-5493
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN100610122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC024905300Medicaid