Provider Demographics
NPI:1427344571
Name:WASHINGTON, ALEXIS CORBIT (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:CORBIT
Last Name:WASHINGTON
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 1:6024 OSAGE ST STE 870
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2771
Mailing Address - Country:US
Mailing Address - Phone:919-423-5260
Mailing Address - Fax:
Practice Address - Street 1:1828 L ST NW STE 870
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5104
Practice Address - Country:US
Practice Address - Phone:202-785-9474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN10018881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty