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

Premiere Ortho-Pedo PLLC

Organization Pediatric Dentistry · NPI 1003234360

Premiere Ortho-Pedo PLLC is a Pediatric Dentistry in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2014.

Licensed in
DC
In the registry since
2014
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

437 Cedar St NW
Washington, DC 20012-1931
Phone: (202) 725-7735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DEN1000997 (DC)
Pediatric Dentistry Taxonomy 1223P0221X · Licence DEN1001349 (DC)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1003234360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Ngwafon — President · (202) 725-7735
NPI enumeratedApril 3, 2014
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing addressPo Box 55474, Washington, DC 20040-5474

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