BRANDYWINE PEDIATRIC DENTISTRY, P.A. (NPI# 1699235937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699235937 |
| Entity Type | Organization |
| Organization Name | BRANDYWINE PEDIATRIC DENTISTRY, P.A. |
| Practice Address |
2000 Foulk Rd Ste C Wilmington DE 19810-3642 |
| Practice Telephone | 3024753110 |
| Practice Fax Number | 3024755206 |
| Mailing Telephone | 3024753110 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | DR. JILL L GARRIDO (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 3024753110 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1003109877 | 05 |
| Street Address |
2000 FOULK RD STE C |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19810-3642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003109877 | Jill Laurie Garrido | Dentist | 2000 Foulk Rd Ste C, Wilmington, DE 19810-3642 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916710 | Sk Chiropractic | Chiropractor | 3411 Silverside Road., Weldin Building. Suite 106, Wilmington, DE 19810 | 2019-01-18 |
| 1407344476 | Adelle Grant-mcauley | Nurse Practitioner | 3521 Silverside Rd., Quillen Building Suite 2j, Wilmington, DE 19810 | 2018-04-25 |
| 1073866265 | Julie Ann Donahue | Counselor | 7 Pinecrest Dr, Wilmington, DE 19810 | 2012-10-25 |
| 1245588227 | Megan Mckinney Watts | Physical Therapist | 6411 Silverside Road, Springer Building, Suite 105, Wilmington, DE 19810 | 2012-08-22 |
| 1316236094 | Anthony J Franzosa IIi | Pharmacist | 1718 Marsh Rd, Wilmington, DE 19810 | 2011-04-01 |
| 1831347202 | Felix John Boffa | Anesthesiology | 2413 Oakmere Rd, Wilmington, DE 19810 | 2008-08-28 |
| 1881818227 | Kuhwald Contact Lens Co Inc | Durable Medical Equipment & Medical Supplies | 2006 Foulk Road, Suite A, Wilmington, DE 19810 | 2007-04-13 |
| 1528187747 | Vincent Emanuel Paolicelli Jr. | Chiropractor | Hanby Building Ste 102 3411 Silverside Rd, Wilmington, DE 19810 | 2007-03-28 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| 1407998040 | Constantine Azarcon | Psychiatry & Neurology | 3411 Silverside Road, Rodney Building Suite 107, Wilmington, DE 19810 | 2007-02-12 |
| Find all providers in zip 19810 | ||||
| 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 |
|---|---|---|---|---|
| 1740849744 | Riccobene & Associates Xxx, Dds, P.a. | Dentist | 8203 Market St Bldg B, Wilmington, NC 28411-9389 | 2019-06-12 |
| 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 |
| 1013381409 | Wj Partnership | Dentist | 8115 Market St Ste 204, Wilmington, NC 28411-8430 | 2015-11-23 |
| 1003109877 | Jill Laurie Garrido | Dentist | 2000 Foulk Rd Ste C, Wilmington, DE 19810-3642 | 2011-05-26 |
| 1316095904 | B.b. Roseman Dmd, Md L.b Jacobs Dmd Pa | Dentist | 708 Foulk Rd, Wilmington, DE 19803-3734 | 2007-01-08 |
| 1790850675 | Robert Toms Kelly | Dentist | 1635 Doctors Cir, Wilmington, NC 28401-7405 | 2006-11-23 |
| 1316037799 | Halley R White | Dentist | 8115 Market St, Suite 204, Wilmington, NC 28411-8427 | 2006-10-13 |
| 1699884940 | Julia Dimock | Dentist | 3505 Converse Dr Ste 175, Wilmington, NC 28403-6174 | 2006-08-30 |
| 1073532248 | Dimock Weinberg & Cherry Dds Pllc | Dentist | 3505 Converse Dr, Suite 175, Wilmington, NC 28403-6131 | 2006-07-19 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19810 |
Please comment or provide details below to improve the information on BRANDYWINE PEDIATRIC DENTISTRY, P.A..
| 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.