DELAWARE BRACES, LLC (NPI# 1679139448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679139448 |
| Entity Type | Organization |
| Organization Name | DELAWARE BRACES, LLC |
| Practice Address |
2444 Pulaski Hwy Ste 200 Newark DE 19702-3906 |
| Practice Telephone | 3028381400 |
| Practice Fax Number | 3028382232 |
| Mailing Telephone | 3028381400 |
| Mailing Fax Number | 3028382232 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | MR. ALI S HUSAIN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3028381400 |
| Authorized Official Credential | DMD, MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 122 Sandhill Dr Ste 201, Middletown, DE 197095862 | 3024491350 | 3024490328 |
| Street Address |
2444 PULASKI HWY STE 200 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1144606310 | Rayanne Lee | Dentist | 110 Bergen Street, Rutgers School of Dental Medicine, Department of Orthodontics - Room C781, Newark, NJ 07103 | 2015-08-10 |
| 1508099938 | Andrew C Wong | Dentist | 3900 Newpark Mall Road, Suite 204, Newark, CA 94560-5241 | 2009-09-02 |
| 1366576373 | Thomas Wilson Beattie | Dentist | 589 Moull St, Newark, OH 43055-2909 | 2007-03-14 |
| 1932250735 | William D. Plikerd | Dentist | 974 N 21st St, Suite 1a, Newark, OH 43055-2990 | 2007-01-16 |
| 1205991668 | David S Briss | Dentist | 110 Bergen St Rm D884, Newark, NJ 07103-2495 | 2006-12-26 |
| 1366413528 | Brian E Crock | Dentist | 175 Mcmillen Dr, Newark, OH 43055-1810 | 2006-01-27 |
| 1841275609 | Robert E. Binder | Dentist | 110 Bergen Street, New Jersey Dental School, Department of Orthodontics, Newark, NJ 07101-1709 | 2005-12-14 |
| 1871064709 | Ezra Jared Brown | Dentist | 509 Orange St, Newark, NJ 07107-2128 | 2018-12-17 |
| 1629431960 | Nicholas Kelley | Dentist | 201 Lyons Ave, Newark, NJ 07112-2027 | 2016-04-04 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on DELAWARE BRACES, 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.