| Coastal Kids Pediatric Dentistry, Llc | |
|
18947 John J Williams Hwy Suite 309 Rehoboth Beach DE 19971-4474 | |
| (610) 733-4300 | |
| Not Available |
| Full Name | Coastal Kids Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 18947 John J Williams Hwy, Rehoboth Beach, Delaware |
| Authorized Official Name and Position | Jessica S Di Cerbo (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6107334300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Kids Pediatric Dentistry, Llc 18947 John J Williams Hwy Suite 309 Rehoboth Beach DE 19971-4474 Ph: (610) 733-4300 | Coastal Kids Pediatric Dentistry, Llc 18947 John J Williams Hwy Suite 309 Rehoboth Beach DE 19971-4474 Ph: (610) 733-4300 |
| NPI Number | 1821433145 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821433145 | NPI | - | NPPES |
| 1821433145 | Other | DELTA DENTAL | |
| 271596 | Other | CIGNA | |
| 1821433145 | Medicaid | DE | |
| 171999 | Other | GUARDIAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | G1-0001296 (Delaware) | Primary |
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