NPI 1013201987 · live from the CMS NPI Registry
Lida Alimorad, D.D.S
Dentist, Pediatric Dentistry in Wilmington, DE. National Provider Identifier 1013201987, active.
NPI record
| NPI | 1013201987 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 1600 Rockland Rd, Wilmington, DE 19803 |
| Practice phone | 302-651-4200 |
| Mailing address | Po Box 191, Rockland, DE 19732 |
| Enumerated | June 8, 2011 |
| Last updated | September 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | G3-0000488 (DE) |
| Dentist | 122300000X | 0401413118 (VA) |
| Dentist, Pediatric Dentistry primary | 1223P0221X | G3-0000488 (DE) |
| Dentist, General Practice | 1223G0001X | 14851 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.