Wellformed AI

NPI 1891174769 · live from the CMS NPI Registry

Big Smiles Mobile Dentists Delaware P.A.

Dentist in Wilmington, DE. National Provider Identifier 1891174769, active.

NPI record

NPI1891174769 Type 2 · organization
StatusActive
Primary specialtyDentist 122300000X
Practice location1000 N West St, Suite 1200, Wilmington, DE 19801
Practice phone888-833-8441
Mailing address33533 W 12 Mile Rd, Suite 150, Farmington Hills, MI 48331
EnumeratedMay 26, 2015
Last updatedMay 26, 2015
Authorized officialChristine Fox, Dental Director

Taxonomies and licenses

TaxonomyCodeLicense
Dentist primary122300000XG10001246 (DE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.