CONCORD DENTAL LLC NPI 1306311519

NPI Information

  • NPI: 1306311519
  • Provider Name: CONCORD DENTAL, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2304 CONCORD PIKE
    WILMINGTON, DE
    ZIP 19803
  • Phone: (302) 791-3750

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NPI Details

CONCORD DENTAL, LLC is a dental clinic center in Wilmington, DE. CONCORD DENTAL, LLC NPI is 1306311519. The provider is registered as an organization entity type.

The provider's business location address is:

2304 CONCORD PIKE
WILMINGTON, DE
ZIP 19803-912
Phone: (302) 791-3750

The provider's authorized official is Glen Goleburn .
The authorized official title is Dentist and has the following contact phone number (302) 836-3750.

The enumeration date for this NPI number is 10/4/2018 and was last updated on 10/4/2018.

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
1261QD0000XClinic/CenterDentalYes

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
1122300000XMEDICAIDDELAWARE

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: 11/21/2025

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