| Children's Dental Health Of Delaware - Wilmington, Pa | |
|
708 Foulk Rd Wilmington DE 19803-3734 | |
| (302) 764-7714 | |
| Not Available |
| Full Name | Children's Dental Health Of Delaware - Wilmington, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 708 Foulk Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Van Phi Le (CREDENTIALING CONTRACTS MANAGER) |
| Authorized Official Contact | 2675752321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Health Of Delaware - Wilmington, Pa 200 Willowbrook Ln Ste 220 West Chester PA 19382-5697 Ph: (267) 575-2321 | Children's Dental Health Of Delaware - Wilmington, Pa 708 Foulk Rd Wilmington DE 19803-3734 Ph: (302) 764-7714 |
| NPI Number | 1316095904 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316095904 | NPI | - | NPPES |
| 0000443701 | Medicaid | DE | |
| 0000651508 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | G1-0000893 (Delaware) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | G1-0000909 (Delaware) | Primary |
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Hockessin Smile Studio, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5341 Limestone Rd, Wilmington, DE 19808 Phone: 443-593-5479 | |
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