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DELMARVA PROSTHODONTICS PA NPI 1336100023


NPI Information

NPI: 1336100023
Provider Name: DELMARVA PROSTHODONTICS PA
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
871 S GOVERNORS AVE
SUITE 1
DOVER, DE
ZIP 19904
Phone: (302) 674-8331
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DELMARVA PROSTHODONTICS PA is a prosthodontics dentist in Dover, DE. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DELMARVA PROSTHODONTICS PA NPI is 1336100023. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

871 S GOVERNORS AVE
SUITE 1
DOVER, DE
ZIP 19904-115
Phone: (302) 674-8331
Fax: (302) 674-4342

The provider's authorized official is Christopher David Burns .
The authorized official title is PRESIDENT OWNEROwner and has the following contact phone number (302) 674-8331.

The enumeration date for this NPI number is 3/31/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0700XDentistProsthodontics1006DELAWAREYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10001058231MEDICAIDDELAWARE

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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