| The Dental Group, Llc | |
|
34359 Carpenters Way Lewes DE 19958-4910 | |
| (302) 645-8993 | |
| (302) 645-4506 |
| Full Name | The Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 34359 Carpenters Way, Lewes, Delaware |
| Authorized Official Name and Position | Blair Allen Jones (OWNER/DENTISIT) |
| Authorized Official Contact | 3026458993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Group, Llc 34359 Carpenters Way Lewes DE 19958-4910 Ph: (302) 645-8993 | The Dental Group, Llc 34359 Carpenters Way Lewes DE 19958-4910 Ph: (302) 645-8993 |
| NPI Number | 1598727653 |
|---|---|
| Provider Enumeration Date | 04/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598727653 | NPI | - | NPPES |
| 1000023517 | Medicaid | DE | |
| 1000023543 | Medicaid | DE | |
| 1000033058 | Medicaid | DE | |
| 1000023518 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 997 (Delaware) | Primary |
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