NPI 1407978141 · live from the CMS NPI Registry
Stephen Anthony Candelora, DMD
Dentist, Periodontics in Wilmington, DE. National Provider Identifier 1407978141, active.
NPI record
| NPI | 1407978141 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Periodontics 1223P0300X |
| Practice location | 2500 Grubb Road, Brandywood Plaza Suite 132, Wilmington, DE 19810 |
| Practice phone | 302-475-8181 |
| Enumerated | April 4, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Periodontics primary | 1223P0300X | DE977 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.