# VIJAYALAKSHMI JESSON DDS PC

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

## Provider details

- **NPI number:** 1457841629
- **Authorized official:** VIJAYALAKSHMI ANGAMUTHU JESSON (DENTIST)
- **Authorized official phone:** (301) 990-3697

## Contact information

- **Practice address:** 10820 RHODE ISLAND AVE STE A, BELTSVILLE, MD 20705
- **Practice address phone:** (301) 937-9330
- **Practice address fax:** (301) 477-4831
- **Mailing address:** 10820 RHODE ISLAND AVE STE A, BELTSVILLE, MD 20705-2570
- **Mailing address phone:** (301) 937-9330
- **Mailing address fax:** (301) 477-4831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12246 | MD | Yes |

## Other

- **Enumeration date:** 05/14/2018
- **Last updated:** 08/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1144211046 | — | MD |