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DELAWARE MODERN DENTAL

General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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Contact Information

DELAWARE MODERN DENTAL
850 LIBRARY AVE
SUITE 102
NEWARK, DE  19711-7170
 Phone: 302-366-8668
 Fax: 302-366-8081
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

General Practice

 1223G0001X
Indicates primary specialty

NPI Profile & details for DELAWARE MODERN DENTAL

NPI Number 1265585046
LBN Legal business name DELAWARE MODERN DENTAL
Authorized official LISA FAGIOLETTI - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
DE License # 2005207645
DE Medicaid 1000028544
DE Medicaid 1000036904
DE Medicaid 1000037168
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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