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ORAL & MAXILLOFACIAL SURGERY ASSOCIATES P.A. NPI 1558452177


NPI Information

NPI: 1558452177
Provider Name: ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1304 N BROOM ST
WILMINGTON, DE
ZIP 19806
Phone: (302) 655-6183
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ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A. is an oral and maxillofacial surgery dentist in Wilmington, DE. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A. NPI is 1558452177. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1304 N BROOM ST
WILMINGTON, DE
ZIP 19806-254
Phone: (302) 655-6183
Fax: (302) 655-8635

The provider's authorized official is James L Goodwill .
The authorized official title is President and has the following contact phone number (302) 655-6183.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 12/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryGI-0001107DELAWAREYes
21223S0112XDentistOral and Maxillofacial SurgeryGI-0000930DELAWARENo
31223S0112XDentistOral and Maxillofacial SurgeryGI-0000844DELAWARENo

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: 4/28/2024

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