Organization
GEORGETOWN ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI BLACKWOOD BA (ADMINISTRATOR)
(301) 802-4322
Entity
Organization
Contact information
Practice address
4434 MACARTHUR BLVD NW STE 201, WASHINGTON, DC 20007-2550
(202) 333-2200
(202) 333-2260
Mailing address
4434 MACARTHUR BLVD NW STE 201, WASHINGTON, DC 20007-2550
(202) 333-2200
(202) 333-2260
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972735017
DOCTOR NPI
—
Enumeration date
06/08/2021
Last updated
06/08/2021
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