Ellington, Latavias Demetrius

Ellington, Latavias Demetrius is an individual health care provider with primary practice located at 7425 Arlington Rd , Bethesda MD 20814-5321. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Ellington, Latavias Demetrius can be contacted via phone (301) 654-8024.

Contact Information

Primary practice address
7425 Arlington Rd Bethesda MD 20814-5321
Phone: (301) 654-8024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13834 Maryland
Dental Providers / Dentist 122300000X DEN1000572 District of Columbia
Dental Providers / Pediatric Dentistry 1223P0221X 13834 Maryland

Profile Details

NPI number 1982734075
LBN Legal business name Ellington, Latavias Demetrius
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Dec 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982734075 NPPES
Maryland Other 522116489 TAX IDENTIFICATION NUMBER

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