| Christiana Center For Oral & Maxillofacial Surgery, P.a. | |
|
4133 Ogletown Stanton Rd Ste 200 Newark DE 19713-4187 | |
| (130) 232-8677 | |
| (023) 195-9543 |
| Full Name | Christiana Center For Oral & Maxillofacial Surgery, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4133 Ogletown Stanton Rd Ste 200, Newark, Delaware |
| Authorized Official Name and Position | Eugene Michael Damico (PRESIDENT) |
| Authorized Official Contact | 3022921600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christiana Center For Oral & Maxillofacial Surgery, P.a. 4133 Stanton Ogletwn Rd Ste 200 Newark DE 19713-4187 Ph: (302) 292-1600 | Christiana Center For Oral & Maxillofacial Surgery, P.a. 4133 Ogletown Stanton Rd Ste 200 Newark DE 19713-4187 Ph: (130) 232-8677 |
| NPI Number | 1740235449 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740235449 | NPI | - | NPPES |
| 000540991 | Other | HIGHMARK BLUE SHIELD | |
| 0000189002 | Medicaid | DE | |
| 4300241 | Other | AETNA | |
| 199367325 | Other | DE | CAREFIRST BLUE CROSS BLUE SHIELD OF DELAWARE |
| 0116093000 | Other | AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | G1-0000952 (Delaware) | Primary |
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