STATE OF DELAWARE NPI 1245302017

NPI Information

STATE OF DELAWARE is a dental clinic center in Dover, DE. STATE OF DELAWARE NPI is 1245302017. The provider is registered as an organization entity type.
The provider Other Name Is Delawarr Dental.

The provider's business location address is:

417 FEDERAL ST
DOVER, DE
ZIP 19901-635
Phone: (302) 744-4554
Fax: (302) 661-7229

The provider's authorized official is Gregory B Mcclure .
The authorized official title is Dental Director and has the following contact phone number (302) 744-4554.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 12/6/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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