| Mid-atlantic Center For Oral & Maxillofacial Surgery Llc | |
|
8466 Herring Run Rd Suite D Seaford DE 19973-5763 | |
| (302) 629-3588 | |
| (302) 629-0440 |
| Full Name | Mid-atlantic Center For Oral & Maxillofacial Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8466 Herring Run Rd, Seaford, Delaware |
| Authorized Official Name and Position | Eric Spencer (OWNER) |
| Authorized Official Contact | 3026293588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-atlantic Center For Oral & Maxillofacial Surgery Llc 8466 Herring Run Rd Suite D Seaford DE 19973-5763 Ph: (302) 629-3588 | Mid-atlantic Center For Oral & Maxillofacial Surgery Llc 8466 Herring Run Rd Suite D Seaford DE 19973-5763 Ph: (302) 629-3588 |
| NPI Number | 1184166803 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 03/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184166803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Delaware) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Delaware) | Primary |
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