| Richard J. Tananis, D.d.s., L.l.c. | |
|
30599 Sussex Hwy Unit #3 Laurel DE 19956-4417 | |
| (302) 875-4271 | |
| (302) 875-9441 |
| Full Name | Richard J. Tananis, D.d.s., L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30599 Sussex Hwy, Laurel, Delaware |
| Authorized Official Name and Position | Richard J Tananis (DENTIST) |
| Authorized Official Contact | 3028754271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J. Tananis, D.d.s., L.l.c. 30599 Sussex Hwy Unit #3 Laurel DE 19956-4417 Ph: (302) 875-4271 | Richard J. Tananis, D.d.s., L.l.c. 30599 Sussex Hwy Unit #3 Laurel DE 19956-4417 Ph: (302) 875-4271 |
| NPI Number | 1497884357 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497884357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2005210238 (Delaware) | Primary |
Jeffery Bartoshesky Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10250 Stone Creek Dr Unit 1, Laurel, DE 19956 Phone: 302-875-4271 |