CONCORD DENTAL, LLC (NPI# 1306311519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306311519 |
| Entity Type | Organization |
| Organization Name | CONCORD DENTAL, LLC |
| Practice Address |
2304 Concord Pike Wilmington DE 19803-2912 |
| Mailing Address |
1250 Peoples Plz Newark DE 19702-5701 |
| Practice Telephone | 3027913750 |
| Mailing Telephone | 3023922490 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | GLEN GOLEBURN (DENTIST) |
| Authorized Official Telephone | 3028363750 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 122300000X | 05 |
| Street Address |
2304 CONCORD PIKE |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19803-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821656471 | Sleepy Tooth Sedation, L.L.C. | Dentist | 2304 Concord Pike, Wilmington, DE 19803-2912 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437779683 | Minal Aundhia | Student in an Organized Health Care Education/Training Program | Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 | 2020-04-17 |
| 1891324307 | Manuel Roque Sanchez Gonzales Jr. | Pediatrics | Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 | 2020-04-06 |
| 1477117554 | Antanoid John Langeveldt | Student in an Organized Health Care Education/Training Program | 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 | 2019-04-24 |
| 1043791817 | Ronald Mcdonald House of Delaware Inc. | Meals | 1901 Rockland Rd, Wilmington, DE 19803 | 2018-08-28 |
| 1316312754 | Wellspring Emotional Health, LLC | Social Worker | 910 Foulk Rd, Suite 200, Wilmington, DE 19803 | 2015-12-10 |
| 1396117040 | Stacey Marie Boyer | Psychologist | 405 Foulk Road, Wilmington, DE 19803 | 2015-10-21 |
| 1518347095 | Michelle Marie Clark | Allergy & Immunology | 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 | 2015-06-01 |
| 1972922870 | Jennifer Lynne Carite | Emergency Medicine | 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 | 2014-04-08 |
| 1285938712 | Howard Wilk | Family Medicine | 18 Stone Tower Lane, Wilmington, DE 19803 | 2010-12-23 |
| 1568691905 | Kyle Phillips | Registered Nurse | 410 Foulk Road, Suite 100, Wilmington, DE 19803 | 2009-07-07 |
| Find all providers in zip 19803 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447729645 | Dental Diamond LLC | Clinic/Center | 1 Winston Ave, Wilmington, DE 19804-1760 | 2018-11-16 |
| 1952884454 | Dougherty Dental Solutions | Clinic/Center | 1805 Foulk Rd Ste D, Wilmington, DE 19810-3700 | 2018-09-11 |
| 1093294076 | Jacob R. Long, Dds, Pllc | Clinic/Center | 736 Medical Center Dr Ste 101, Wilmington, NC 28401-4284 | 2018-08-09 |
| 1710477153 | Dr Nathan Graves and Associates Pllc | Clinic/Center | 5920 Carolina Beach Rd Ste 140, Wilmington, NC 28412-3365 | 2018-05-11 |
| 1992192058 | John Cohen D D S Dental Corporation | Clinic/Center | 104 W Anaheim St, Suite C, Wilmington, CA 90744-4488 | 2015-04-16 |
| 1649441098 | A. Gil Pettit IIi, D.d.s., P.a. | Clinic/Center | 9111 Market St, Unit B, Wilmington, NC 28411-7995 | 2008-03-13 |
| 1992822787 | Kenneth J. Yost, Dmd,pa | Clinic/Center | 1407 Foulk Rd, Suite 202, Wilmington, DE 19803-2762 | 2007-03-25 |
| 1356465017 | Dr Virks Dental Practice | Clinic/Center | 221 W Anaheim St, Wilmington, CA 90744 | 2007-03-19 |
| 1114057825 | Dental Health Center of Del-tech | Clinic/Center | 333 N Shipley St, The Dental Health Center, Wilmington, DE 19801-2412 | 2007-03-06 |
| 1083199871 | Happy Sunny Dental, LLC | Clinic/Center | 211 Lowell St Unit K, Wilmington, MA 01887-3014 | 2018-09-27 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19803 |
Please comment or provide details below to improve the information on CONCORD DENTAL, LLC.
| 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.