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DR. ISAAC SAMUEL TADDESSEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3500 OLD WASHINGTON RD STE 301, WALDORF, MD 20602-3225
(301) 645-4434
Mailing address
6009 BINGLEY RD, ALEXANDRIA, VA 22315-4838
(571) 228-3417

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401416686
VA
1223G0001X
General Practice Dentistry
Primary
17043
MD
1223G0001X
General Practice Dentistry
DEN1002039
DC

Other

Enumeration date
03/08/2018
Last updated
11/10/2025
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