First State Oral And Maxillofacial Surgery Corp in Dover, DE

First State Oral And Maxillofacial Surgery Corp is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Dover, Delaware. The current practice location for First State Oral And Maxillofacial Surgery Corp is 1004 S State St Ste 1, Dover, Delaware. For appointments, you can reach them via phone at (302) 674-4450. The mailing address for First State Oral And Maxillofacial Surgery Corp is 1004 S State St Ste 1, Dover, Delaware and phone number is (302) 674-4450.

First State Oral And Maxillofacial Surgery Corp is licensed to practice in Delaware (license number G100093). The clinic also participates in the medicare program and its NPI number is 1922127232. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (302) 674-4450.

Contact Information

	First State Oral And Maxillofacial Surgery Corp
	1004 S State St Ste 1 Dover DE 19901-6901
	(302) 674-4450
	(302) 678-3228

Map and Direction

Dental Care Clinic Profile

Full Name	First State Oral And Maxillofacial Surgery Corp
Speciality	Dentist
Location	1004 S State St Ste 1, Dover, Delaware
Authorized Official Name and Position	Douglas Lynn Ditty (OWNER)
Authorized Official Contact	3026744450
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
First State Oral And Maxillofacial Surgery Corp 1004 S State St Ste 1 Dover DE 19901-6901 Ph: (302) 674-4450	First State Oral And Maxillofacial Surgery Corp 1004 S State St Ste 1 Dover DE 19901-6901 Ph: (302) 674-4450

NPI Details:

NPI Number	1922127232
Provider Enumeration Date	03/28/2007
Last Update Date	11/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	9638245947
Medicare Enrollment ID	O20080911000187

Medical Identifiers

Medical identifiers for First State Oral And Maxillofacial Surgery Corp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922127232	NPI	-	NPPES
1000039185	Medicaid	DE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	G100093 (Delaware)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. First State Oral And Maxillofacial Surgery Corp acts as a billing entity for following providers:

Provider Name	Eric W Spencer
Provider Type	Practitioner - Oral Surgery
Provider Identifiers	NPI Number: 1790947265 PECOS PAC ID: 5294014106 Enrollment ID: I20161117000709

Reviews and Comments

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First State Oral And Maxillofacial Surgery Corp - Medicare Dental Clinic in Dover, DE