| First State Endodontics, LLC | |
|
4420 Limestone Rd Ste 208 Wilmington DE 19808-2005 | |
| (302) 274-0130 | |
| Not Available |
| Full Name | First State Endodontics, LLC |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4420 Limestone Rd Ste 208, Wilmington, Delaware |
| Authorized Official Name and Position | Tedi Vatnika (OWNER/ENDODONTIST) |
| Authorized Official Contact | 3022740130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First State Endodontics, LLC 4420 Limestone Rd Ste 208 Wilmington DE 19808-2005 Ph: (302) 274-0130 | First State Endodontics, LLC 4420 Limestone Rd Ste 208 Wilmington DE 19808-2005 Ph: (302) 274-0130 |
| NPI Number | 1518793355 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 03/25/2025 |
| Certification Date | 03/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518793355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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