Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

DC Southern Dental PPO PC

Organization Denturist · NPI 1457164758

DC Southern Dental PPO PC is a Denturist in Washington, District of Columbia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1625 K St NW # LL
Washington, DC 20006-1604
Phone: (202) 463-2090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X

Record details

NPI number1457164758
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDC Southern Dental PPO PC
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Phillips, Cooper & Associates
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address5830 Granite Pkwy Ste 780m, Plano, TX 75024-6775