NPI 1407170608 · live from the CMS NPI Registry
Christiana Dental Associates, LLC
Dentist, General Practice in Newark, DE. National Provider Identifier 1407170608, active.
NPI record
| NPI | 1407170608 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4745 Ogletown Stanton Rd, Newark, DE 19713 |
| Practice phone | 302-442-0800 |
| Enumerated | March 17, 2010 |
| Last updated | March 17, 2010 |
| Authorized official | Taral Mehta, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | G1-0001265 (DE) |
| Dentist, General Practice primary | 1223G0001X | G1-0001263 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.