KRESHTOOL & KIM ENDODONTICS PA (NPI# 1083717094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083717094 |
| Entity Type | Organization |
| Organization Name | KRESHTOOL & KIM ENDODONTICS PA |
| Practice Address |
1815 W 13th Street Suite #7 Wilmington DE 19806-4054 |
| Practice Telephone | 3026523556 |
| Practice Fax Number | 3026548088 |
| Mailing Telephone | 3026523556 |
| Mailing Fax Number | 3026548088 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL R KRESHTOOL (PRESIDENT) |
| Authorized Official Telephone | 3026523556 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 264118 | 01 | |
| DE | 0001186931 | 05 |
| Street Address |
1815 W 13TH STREET SUITE #7 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806-4054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174612626 | Jung B Kim | Dentist | 1815 W 13th Street, Suite 7, Wilmington, DE 19806 | 2006-10-12 |
| 1487757464 | Daniel R Kreshtool | Dentist | 1815 W 13th Street, Suite 7, Wilmington, DE 19806 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689120438 | Travis Moore | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2016-08-31 |
| 1114158292 | Mariam Kamel Labib- Soliman | Dentist | 2036 Foulk Rd Ste 203, Wilmington, DE 19810-3650 | 2009-08-06 |
| 1093922106 | W. Christopher Ward | Dentist | 6329 Oleander Dr, Suite 100, Wilmington, NC 28403-3569 | 2007-05-17 |
| 1750434585 | Wade Christopher Ward | Dentist | 1117 Medical Center Dr, Wilmington, NC 28401-7304 | 2007-01-18 |
| 1285790386 | Achara D O'brien | Dentist | 2601 Iron Gate Dr, Ste 204, Wilmington, NC 28412-6625 | 2006-12-31 |
| 1811080393 | John Patrick Crisp | Dentist | 2210 Wrightsville Avenue, Suite 5, Wilmington, NC 28403 | 2006-10-02 |
| 1508876574 | Timothy Hall Mihle | Dentist | 1604 Physicians Dr Ste 101, Wilmington, NC 28401-7349 | 2006-08-09 |
| 1598742553 | John P. Crisp, Dds, Pllc | Dentist | 2210 Wrightsville Ave, Suite 5, Wilmington, NC 28403-2406 | 2005-12-29 |
| 1093367435 | Travis R. Moore, D.m.d., P.l.l.c. | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2019-07-16 |
| 1336484690 | Prudent Endodontics | Dentist | 2036 Foulk Rd, 203, Wilmington, DE 19810-3648 | 2012-11-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
Please comment or provide details below to improve the information on KRESHTOOL & KIM ENDODONTICS PA.
| 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.