DELAWARE CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS PA NPI 1265585582

NPI Information

  • NPI: 1265585582
  • Provider Name: DELAWARE CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS PA
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 131 E CHESTNUT HILL RD
    NEWARK, DE
    ZIP 19713
  • Phone: (302) 369-1000

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NPI Details

DELAWARE CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS PA is an oral and maxillofacial surgery dentist in Newark, 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. DELAWARE CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS PA NPI is 1265585582. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

131 E CHESTNUT HILL RD
NEWARK, DE
ZIP 19713-043
Phone: (302) 369-1000
Fax: (302) 369-6016

The provider's authorized official is David B Ettinger .
The authorized official title is Physician Oral Surgeon and has the following contact phone number (302) 369-1000.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryG10001099DELAWARENo
21223S0112XDentistOral and Maxillofacial SurgeryC10005329DELAWAREYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10000932401MEDICAIDDELAWARE

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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