# WALTER REED NATIONAL MILITARY MEDICAL CNTR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALTER REED NATIONAL MILITARY MEDICAL CNTR
- **Other names:** PENTAGON TRI-SVC DENTAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881897544
- **Legal business name:** WALTER REED NATIONAL MILITARY MEDICAL CNTR
- **Authorized official:** MARCIA DICKSON (FINANCIAL MGMT ANALYST)
- **Authorized official phone:** (301) 295-6300

## Contact information

- **Practice address:** THE PENTAGON, CORRIDOR 8, WASHINGTON, DC 20310-0001
- **Practice address phone:** (703) 692-8700
- **Mailing address:** 8901 WISCONSIN AVE, PSC BOX 509 CODE 6300, BETHESDA, MD 20889-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2007
- **Last updated:** 05/21/2025