DELAWARE PEDIATRIC DENTISTRY (NPI# 1063971745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063971745 |
| Entity Type | Organization |
| Organization Name | DELAWARE PEDIATRIC DENTISTRY |
| Practice Address |
625 N Dupont Blvd Milford DE 19963-1099 |
| Mailing Address |
117 Tuscany Dr Middletown DE 19709-7856 |
| Practice Telephone | 9543301525 |
| Mailing Telephone | 9543301525 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | DR. GERARDO MARTINEZ (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 9543301525 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20785 Professional Park Blvd, Georgetown, DE 199473198 | 9543301525 |
| Street Address |
625 N DUPONT BLVD |
| City | MILFORD |
| State | DE |
| Zip Code | 19963-1099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302336 | Auto Accident Pain & Rehab, LLC | Chiropractor | 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 | 2019-02-14 |
| 1316402530 | Kelsey Ann Queen | Behavioral Analyst | 1010-1012 Mattlind Way, Milford, DE 19963 | 2019-02-01 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1346779774 | Leo Fernandez | Physical Therapist | 300 Hall Place, Milford, DE 19963 | 2017-06-08 |
| 1932642824 | Taryn Guyer | Occupational Therapy Assistant | 17123 Brittany Place, Milford, DE 19963 | 2016-11-23 |
| 1073985602 | Darren Wayne Camper | Physical Therapy Assistant | 800 Airport Road Suite 102, Milford, DE 19963 | 2015-10-22 |
| 1316327091 | Chayil Healthcare LLC | Home Health | 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 | 2015-06-08 |
| 1750717773 | Katie Roney | Behavioral Analyst | 1010 Mattlind Way, Milford, DE 19963 | 2013-09-23 |
| 1083961460 | Halleh Asadpour | Dentist | 215 W Liberty Way, Milford, DE 19963 | 2012-08-06 |
| 1225318033 | Betsy Campana | Pharmacist | 21 S. Clarke Ave, Milford, DE 19963 | 2011-08-24 |
| Find all providers in zip 19963 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1447353057 | Curtis Janssen Creath | Dentist | 1106 C Main Street, Milford, OH 45150-0267 | 2006-09-07 |
| 1659373777 | Noor A. Shamim | Dentist | 544 Route 6 and 209, Suite 1a, Milford, PA 18337-9439 | 2005-06-01 |
| 1386003879 | Nora Nakshabendi | Dentist | 182 Main St, Milford, MA 01757 | 2016-02-12 |
| 1154658607 | Pediatric Dental Group, Inc | Dentist | 182 Main St, Milford, MA 01757 | 2009-11-04 |
| 1962738393 | Locust White Inc | Dentist | 182 Main St, Milford, MA 01757 | 2009-10-20 |
| 1548303951 | Simon W Yampolski | Dentist | 192 West St, Milford, MA 01757-2239 | 2007-02-15 |
| 1316080732 | Simon W Yampolski, Dmd, PC | Dentist | 192 West St, Milford, MA 01757-2239 | 2007-02-15 |
| 1487791356 | Jesus Abel Villegas | Dentist | 209 Boston Post Rd, 201, Milford, CT 06460-3161 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798475 | Kool Koala Pediatric & Adolescent Dentistry LLC | Dentist | 1126 Pulaski Hwy, Bear, DE 19701-1306 | 2020-04-03 |
| 1083189609 | Children's Dental Health of Delaware, LLC | Dentist | 3301 Lancaster Pike # 3e3f, Wilmington, DE 19805-1436 | 2018-10-10 |
| 1427567379 | Mid-atlantic Dental Partners Delaware II Professional Associates | Dentist | 4201 Miller Rd, Wilmington, DE 19802-1914 | 2017-09-22 |
| 1003109877 | Jill Laurie Garrido | Dentist | 2000 Foulk Rd Ste C, Wilmington, DE 19810-3642 | 2011-05-26 |
| 1609086479 | Mary Katherine Matthews | Dentist | 451 Hockessin Cors, Hockessin, DE 19707-9586 | 2007-05-23 |
| 1801916804 | Richard Michael Quinn | Dentist | 1380 S State St, Dover, DE 19901-4946 | 2007-03-31 |
| 1316095904 | B.b. Roseman Dmd, Md L.b Jacobs Dmd Pa | Dentist | 708 Foulk Rd, Wilmington, DE 19803-3734 | 2007-01-08 |
| 1053497818 | Lynn Marie Collins | Dentist | 38 Peoples Plz, Newark, DE 19702-4727 | 2006-10-27 |
| 1134154297 | Francis Jerome Vaughan | Dentist | 613 Philadelphia Pike, Wilmington, DE 19809-2550 | 2006-07-11 |
| 1346248895 | Lawrence A Louie | Dentist | 250 Beiser Blvd, Suite 101, Dover, DE 19904-7790 | 2005-07-08 |
| Find all providers with the same taxonomy | ||||
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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.