Provider Demographics
NPI:1285510578
Name:RCT ENDODONTICS NAVY YARD, PLLC
Entity type:Organization
Organization Name:RCT ENDODONTICS NAVY YARD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-358-5538
Mailing Address - Street 1:3060 MITCHELLVILLE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3968
Mailing Address - Country:US
Mailing Address - Phone:301-218-7711
Mailing Address - Fax:
Practice Address - Street 1:300 M ST SE STE 410
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3403
Practice Address - Country:US
Practice Address - Phone:202-701-1916
Practice Address - Fax:301-358-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty