Christiana Center For Oral & Maxillofacial Surgery, P.A.
Dentist, Oral and Maxillofacial Surgery in Wilmington, DE. Organization (NPI-2).
NPI number1629773247
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1629773247
- Entity type
- Organization (NPI-2)
- Legal business name
- Christiana Center For Oral & Maxillofacial Surgery, P.A.
- Organization subpart
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Practice location
2005 Concord Pike Ste 200Wilmington, DE 19803-2982
Phone 302-292-1600 · Fax 302-292-8629
Mailing address
Po Box 49Middletown, DE 19709-0049
Phone 302-328-6777 · Fax 302-292-8629
Other practice locations
114 Saint Annes Church Rd
Middletown, DE 19709-1495
Middletown, DE 19709-1495
Phone 302-376-3700 · Fax 302-292-8629
Authorized official
Tammy Evans
Practice Manager
3023286777
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All 25 Oral and Maxillofacial Surgery (Dentist) providers in Wilmington · All 8,243 providers in Wilmington
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