KESHA JESELLE STEPHENSON NPI 1205036464

NPI Information

  • NPI: 1205036464
  • Provider Name: KESHA JESELLE STEPHENSON
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 12247 GEORGIA AVE
    SILVER SPRING, MD
    ZIP 20902
  • Phone: (301) 933-0868

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NPI Details

Kesha Jeselle Stephenson is a pediatric dentistry dentist in Silver Spring, MD. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Kesha Jeselle Stephenson NPI is 1205036464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12247 GEORGIA AVE
SILVER SPRING, MD
ZIP 20902-523
Phone: (301) 933-0868

The enumeration date for this NPI number is 7/24/2007 and was last updated on 8/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDEN1000627DISTRICT OF COLUMBIANo
21223P0221XDentistPediatric Dentistry14059MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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