# THE DENTAL GROUP OF FORT WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003909011
- **Authorized official:** DR. DANA C. JACKSON DDS (OWNER)
- **Authorized official phone:** (301) 248-3810

## Contact information

- **Practice address:** 6710 OXON HILL RD, SUITE \#350, OXON HILL, MD 20745-1121
- **Practice address phone:** (301) 248-3810
- **Practice address fax:** (301) 449-6746
- **Mailing address:** 2203 PARKSIDE DR, MITCHELLVILLE, MD 20721-4228
- **Mailing address phone:** (301) 390-2575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9883 | MD | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DEN4466 | DC | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020