Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DR. OCTAVIA S SIMKINS-WISEMAN DDS
Gender: FEMALE
NPI: 1164648010
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Last Updated: | 2013-03-12 | ||
Certification Date: |
Details
Name | Value | ||||||||
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NPI | 1164648010 | ||||||||
Enumeration Date | 2007-04-18 | ||||||||
NPI Type | 1 - Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address |
12150 ANNAPOLIS RD
SUITE301
GLENN DALE, MD 20769-9183 United States Phone: 301-249-8000 | Fax: 301-249-4958 View Map ![]() |
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Primary Practice Address |
12150 ANNAPOLIS RD
SUITE301
GLENN DALE, MD 20769-9183 United States Phone: 301-249-8000 | Fax: 301-249-4958 View Map ![]() |
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