NPI 1316534076 · live from the CMS NPI Registry
Center For Airway And Facial Development LLC
Dentist in Newark, DE. National Provider Identifier 1316534076, active.
NPI record
| NPI | 1316534076 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 620 Churchmans Rd Ste 203, Newark, DE 19702 |
| Practice phone | 302-239-1757 |
| Enumerated | December 29, 2020 |
| Last updated | January 5, 2022 |
| Authorized official | Ryan Robinson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Dental | 261QD0000X | — |
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.