Organization
BETHESDA CHEVY CHASE DENTAL CARE
Active
Other names
Supertooth Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN MANESH (OWNER / OPERATOR)
(301) 986-8777
Entity
Organization
Contact information
Practice address
6831 WISCONSIN AVE, P101, CHEVY CHASE, MD 20815-6122
(301) 986-8777
(301) 986-8873
Mailing address
6831 WISCONSIN AVE, P101, CHEVY CHASE, MD 20815-6122
(301) 986-8777
(301) 986-8873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039934100
—
DC
Enumeration date
08/16/2013
Last updated
08/16/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us