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Contact Information

FIRST STATE DENTAL P.A.
1702 LOVERING AVE
WILMINGTON, DE19806-2141
 Phone: 302-652-5312
 Fax: 302-652-8674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FIRST STATE DENTAL P.A.

NPI # 1235261322
LBN Legal business name FIRST STATE DENTAL P.A.
Authorized official D GIOFFRE - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2007
Last updated 06/18/2021 - About 5 years ago
Identifiers
DE Medicaid 1235261322
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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