NPI 1194073411 · live from the CMS NPI Registry
Christiana Care Health Services INC
Dentist, Oral and Maxillofacial Surgery in Wilmington, DE. National Provider Identifier 1194073411, active.
NPI record
| NPI | 1194073411 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Oral and Maxillofacial Surgery 1223S0112X |
| Practice location | 501 W 14th St, Wilmington Hospital, 2nd Floor, Wilmington, DE 19801 |
| Practice phone | 302-428-5730 |
| Mailing address | 200 Hygeia Dr, Suite 2300, Newark, DE 19713 |
| Enumerated | August 16, 2012 |
| Last updated | December 16, 2021 |
| Authorized official | Robert Mcmurray, Cfo |
| Other names | Christiana Care Oral & Facial Surgery Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | — |
| Dentist, Oral and Maxillofacial Surgery primary | 1223S0112X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.