MID-ATLANTIC CENTER FOR ORAL & MAXILLOFACIAL SURGERY LLC NPI 1184166803

NPI Information

MID-ATLANTIC CENTER FOR ORAL & MAXILLOFACIAL SURGERY LLC is an oral and maxillofacial surgery dentist in Seaford, DE. The provider is the specialty of dentistry which includes 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. MID-ATLANTIC CENTER FOR ORAL & MAXILLOFACIAL SURGERY LLC NPI is 1184166803. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8466 HERRING RUN RD
SUITE D
SEAFORD, DE
ZIP 19973-763
Phone: (302) 629-3588
Fax: (302) 629-0440

The provider's authorized official is Eric Spencer .
The authorized official title is Owner and has the following contact phone number (302) 629-3588.

The enumeration date for this NPI number is 11/11/2016 and was last updated on 3/16/2017.

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:

Other Identifiers

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