Derrell Washington, DDS

Dentist · Berkeley, CA

Individual Active NPI

NPI number 1255909628

Practice location

1503 Alcatraz Avenue
Berkeley, CA 94703
Phone
(510) 653-6424

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NPI record

NPI
1255909628
Entity type
Individual (Type 1)
Enumeration date
June 14, 2021
Last updated
June 14, 2021
Certified
May 27, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 106166 CA

Mailing address

1503 Alcatraz Avenue
Berkeley, CA 94703-5472
Phone
(317) 809-8034

About Dr. Washington

Derrell Washington, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1503 Alcatraz Avenue, Berkeley, CA 94703. The NPI number 1255909628 was assigned on June 14, 2021 and the record was last updated on June 14, 2021.

Dr. Washington lists a license in the registry: #106166 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrell Washington, DDS?

The NPI number is 1255909628.

What is the phone number of Dr. Washington?

The phone number listed for the practice location is (510) 653-6424.

Where is Dr. Washington located?

1503 Alcatraz Avenue, Berkeley, CA 94703.

What is the taxonomy code for Dr. Washington?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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