NPI 1003216284

Manasi Supekar

Practitioner General Practice Dentistry Washington, DC

Practice location

Address: 3521 12th St NE, Washington, DC 20017-2545
Phone: (020) 245-0592
Mailing address: 25990 Kimberly Rose Dr, Chantilly, VA 20152-3458

Registered specialties (3)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 15704 (MD)

Other Dentist providers in District of Columbia →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence DEN1001442 (DC)

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 0401417821 (VA)

Registry record

NPI: 1003216284
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2014
Record last updated: 24 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.