DR. BRADFORD L KLASSMAN (NPI# 1053391706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053391706 |
Entity Type | Individual |
Full Name | DR. BRADFORD L KLASSMAN |
Credential | D.M.D. |
Practice Address |
1110 N Bancroft Pkwy Wilmington DE 19805-2669 |
Practice Telephone | 3026587871 |
Practice Fax Number | 3026521174 |
Mailing Telephone | 3026587871 |
Mailing Fax Number | 3026521174 |
Enumeration Date | 2006-01-19 |
Last Update Date | 2019-10-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
G1-0001067 | DE | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
3223 N Broad St, Philadelphia, PA 191405099 | 2157072953 |
Street Address |
1110 N BANCROFT PKWY |
City | WILMINGTON |
State | DE |
Zip Code | 19805-2669 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427266105 | Harold A. Dehaven | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2007-05-18 |
1912120676 | G. William Keller | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2007-04-11 |
1356476279 | Delaware Periodontics, P.a. | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2007-02-22 |
1225187115 | Endodontic Associates, P.a. | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2007-01-09 |
1538265624 | Barry Klassman | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2006-09-15 |
1861424590 | Robert Corbin Director | Dentist | 1110 N Bancroft Pkwy, Wilmington, DE 19805-2669 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043854359 | Balanced Life Counseling, LLC | Social Worker | 1621 Howland Street, Wilmington, DE 19805 | 2019-10-30 |
1376050468 | Chelsey Bayles | Counselor | 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 | 2018-01-10 |
1629594098 | Laura Sullivan-holland | Registered Nurse | 2713 Lancaster Avenue, Wilmington, DE 19805 | 2017-08-17 |
1013362151 | Arthur Andrew Dermen | Student in an Organized Health Care Education/Training Program | 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 | 2016-04-26 |
1689031262 | Ivps of Delaware | Specialist | 1305 Kirkwood Highway, Wilmington, DE 19805 | 2016-01-27 |
1043689110 | Vitality Chiropractic and Rehabilitation Center | Chiropractor | 807 N Union Street, Wilmington, DE 19805 | 2015-09-18 |
1508259425 | Karlou Michael Cartwright | Nurse Practitioner | 1100 South Broom St, Wilmington, DE 19805 | 2015-03-17 |
1629494737 | Jennie Strickler | Registered Nurse | 1902 A Maryland Ave., Wilmington, DE 19805 | 2014-03-13 |
1487912119 | Jamie Johnson Gellock | Family Medicine | 1802 W 4th Street, Wilmington, DE 19805 | 2012-05-01 |
1992089007 | Abigail Triemstra | Speech-Language Pathologist | 1502 Spruce Avenue, Wilmington, DE 19805 | 2011-10-07 |
Find all providers in zip 19805 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962044560 | Riccobene & Associates Xxxvi, Dds, P.a. | Dentist | 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403-8070 | 2019-10-15 |
1275044612 | Delaware Periodontics and Implants LLC | Dentist | 2300 Pennsylvania Ave Unit 5d, Wilmington, DE 19806-1392 | 2017-10-12 |
1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
1124181110 | Susan Kay Banta Dds Ms Pa | Dentist | 1611 Doctors Circle, Wilmington, NC 28401 | 2006-12-19 |
1003915091 | Darla Marie Brice | Dentist | 3512 Silverside Rd Ste 6, Wilmington, DE 19810-4941 | 2006-09-22 |
1871690438 | Margaret Munley | Dentist | 2004 Foulk Rd, Wilmington, DE 19810-3641 | 2006-09-17 |
1982719001 | Phyllis Byers Cook | Dentist | 7028 Wrightsville Ave, Wilmington, NC 28403-3655 | 2006-08-20 |
1891744819 | Martin Scott Gould | Dentist | 7010 Market St, Wilmington, NC 28411-9728 | 2006-05-08 |
1104820174 | Stephen Curtis Wallace | Dentist | 2525 Delaney Rd, Wilmington, NC 28403-6003 | 2005-06-08 |
1497160212 | Deana C Cook, Dds, Ms, Pllc | Dentist | 7028 Wrightsville Ave, Wilmington, NC 28403-3655 | 2014-07-01 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 19805 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.