Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OCTAVIA S SIMKINS-WISEMAN, DDS
ActiveDR. OCTAVIA S SIMKINS-WISEMAN, DDS is a General Dentistry healthcare provider located in GLENN DALE, Maryland. NPI 1164648010 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GLENN DALE, MD
Registration Details
- NPI Number
- 1164648010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2007 (19.365841017876 yrs)
- Last Updated
- Mar 12, 2013
- License
-
10983 (MD)
Practice Information
- Address
-
12150 ANNAPOLIS RDSUITE301GLENN DALE, MD, 207699183Browse MD providers · Browse ZIP 20769
- Phone
- 3012498000
- Fax
- 3012494958
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GLENN DALE, MD
| Name | Credential | NPI |
|---|---|---|
| OLUWABUSAYO LANA | DDS | 1215496047 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.