NPI 1851569719 · live from the CMS NPI Registry
Crescent Dental, LLC
Dentist in Wilmington, DE. National Provider Identifier 1851569719, active.
NPI record
| NPI | 1851569719 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 129 S. West St., Wilmington, DE 19801 |
| Practice phone | 302-230-0000 |
| Mailing address | 120 Talleyrand Dr, Wilmington, DE 19810 |
| Enumerated | February 13, 2008 |
| Last updated | February 13, 2008 |
| Authorized official | Syamack Ganjavian, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | G10001184 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.