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

DC Southern Dental PPO PC

Organization Dentist · NPI 1942013222

DC Southern Dental PPO PC is a Dentist 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.

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Practice location Address checks out

4400 Macarthur Blvd NW Ste 200
Washington, DC 20007-2521
Phone: (202) 333-0003
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1942013222
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDC Southern Dental PPO PC
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Georgetown Smile
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 29, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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