Provider Demographics
NPI:1285377853
Name:MARIA FERRER NICHOLS DDS PC
Entity type:Organization
Organization Name:MARIA FERRER NICHOLS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:202-363-1158
Mailing Address - Street 1:5100 WISCONSIN AVE NW STE 310
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-4130
Mailing Address - Country:US
Mailing Address - Phone:202-363-1158
Mailing Address - Fax:
Practice Address - Street 1:5100 WISCONSIN AVE NW STE 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4130
Practice Address - Country:US
Practice Address - Phone:202-363-1158
Practice Address - Fax:202-363-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental