Doctor profile · Federal record
Dr. Djavan Wharton-Lake
Endodontist · Endodontist · Endodontist · Endodontist · Hyattsville, MD
- NPI 1174938906
- 12 yrs on file
- Licensed in 4 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2045 University Blvd E Ste 204
Hyattsville, MD 207834137
(626) 254-0207
fax (626) 254-8679 - Mailing address
-
628 Webster St Nw
Washington, DC 200114656
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- November 19, 2024
- Specialty taxonomy
- 1223E0200X — NUCC code
- State licenses (4)
- Virginia #0401417776 · California #65036 · South Carolina #DGD.10963DS · Maryland #17787
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174938906. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona Inc | 1 | $15.88 |
By nature of payment
Frequently asked questions
What is Dr. Djavan Wharton-Lake's medical specialty?
Dr. Djavan Wharton-Lake practices Endodontist in Hyattsville, MD.
Where does Dr. Djavan Wharton-Lake practice?
Dr. Djavan Wharton-Lake practices at 2045 University Blvd E Ste 204, Hyattsville, MD 207834137. Office phone: 6262540207.
What is Dr. Djavan Wharton-Lake's NPI?
Dr. Djavan Wharton-Lake's National Provider Identifier (NPI) is 1174938906, issued by NPPES.