Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DJAVAN WHARTON-LAKE
Active Sole ProprietorDJAVAN WHARTON-LAKE is a Endodontics healthcare provider located in HYATTSVILLE, Maryland. NPI 1174938906 is currently active in the NPPES registry. Verify at CMS.
Endodontics · HYATTSVILLE, MD
Registration Details
- NPI Number
- 1174938906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2014 (12.098241129841 yrs)
- Last Updated
- Nov 19, 2024
- Licenses
-
65036 (CA)DGD.10963DS (SC)17787 (MD)0401417776 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2045 UNIVERSITY BLVD E STE 204HYATTSVILLE, MD, 207834137Browse MD providers · Browse ZIP 20783
- Phone
- 6262540207
- Fax
- 6262548679
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
Other Endodontics Providers in HYATTSVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| DR. SHAHRYAR NASIR KHALIQ | D.M.D. | 1295141091 |
| TANVIR SINGH | — | 1477043230 |
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.