COASTAL KIDS PEDIATRIC DENTISTRY, LLC (NPI# 1821433145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821433145 |
| Entity Type | Organization |
| Organization Name | COASTAL KIDS PEDIATRIC DENTISTRY, LLC |
| Practice Address |
18947 John J Williams Hwy Suite 309 Rehoboth Beach DE 19971-4474 |
| Practice Telephone | 6107334300 |
| Mailing Telephone | 6107334300 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2016-05-04 |
| Authorized Official Name | DR. JESSICA S DI CERBO (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 6107334300 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
G1-0001296 | DE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1821433145 | 05 | |
| GUARDIAN | 171999 | 01 | |
| CIGNA | 271596 | 01 | |
| DELTA DENTAL | 1821433145 | 01 |
| Street Address |
18947 JOHN J WILLIAMS HWY SUITE 309 |
| City | REHOBOTH BEACH |
| State | DE |
| Zip Code | 19971-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343552 | Andrejs V Strauss | Radiology | 18947 John J Williams Hwy, Tunnell Cancer Center, Rehoboth Beach, DE 19971-4474 | 2005-06-01 |
| 1194290346 | Rhonda Kay Owens | Nurse Practitioner | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-10-03 |
| 1275026809 | Jeanna Kate Gerhard | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-06-08 |
| 1518464726 | Alexis Smith | Student in an Organized Health Care Education/Training Program | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971 | 2018-04-12 |
| 1780182394 | Teresa Lesher | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2018-01-29 |
| 1154843605 | Audrey Umschlag | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2017-07-15 |
| 1790220945 | Katherine Preston | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2016-12-26 |
| 1508255795 | Jenifer Russell | Registered Nurse | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2015-01-12 |
| 1477950384 | Martin Blood | Pharmacist | 18947 John J Williams Hwy, Bebe Healthcare Tunnell Cancer Center, Rehoboth Beach, DE 19971-4474 | 2014-11-21 |
| 1376940239 | Rose Marie Marese-smith | Pharmacist | 18947 John J Williams Hwy, Rehoboth Beach, DE 19971-4474 | 2014-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110435 | Sussex Medical Supplies | Durable Medical Equipment & Medical Supplies | 18766 John J Williams Hwy #215, Rehoboth Beach, DE 19971 | 2017-08-16 |
| 1023477361 | Jennifer Kaufman | Occupational Therapy Assistant | 321 Country Club Drive, Rehoboth Beach, DE 19971 | 2016-02-15 |
| 1396155792 | Amanda Celaschi | Obstetrics & Gynecology | 19405 Plantation Rd, Rehoboth Beach, DE 19971 | 2014-05-07 |
| 1487085692 | Donald Ryan Lewis Sr. | General Practice | 110 Westside Drive, Rehoboth Beach, DE 19971 | 2013-12-13 |
| 1144499229 | Isabel Marie Benson | Nurse Practitioner | 18947 John J. Williams Highway, Rehoboth Beach, DE 19971 | 2008-02-22 |
| 1013116888 | Peter B Collis | Family Medicine | #6 Cedar Rd, Rehoboth Beach, DE 19971 | 2007-07-12 |
| 1316161904 | Kaci Camerron Madison | Counselor | 20576 Coastal Highway, Rehoboth Beach, DE 19971 | 2007-04-13 |
| 1740309400 | Kimberly D. Furtado | Naturopath | 35252 Hudson Way, Unit 2, Rehoboth Beach, DE 19971 | 2007-03-27 |
| 1194820480 | Bio-medical Applications of Delaware, Inc. | Clinic/Center | Ocean Bay Mart, 3712 Highway One, Rehoboth Beach, DE 19971 | 2006-09-13 |
| 1184657439 | Giant of Maryland LLC | Durable Medical Equipment & Medical Supplies | 19312 Lighthouse Plaza Blvd, Rehoboth Beach, DE 19971 | 2006-07-09 |
| Find all providers in zip 19971 | ||||
| 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 |
|---|---|---|---|---|
| 1528258779 | Jessica Dicerbo Dipietro | Dentist | 18947 John J Williams Hwy, Suite 309, Rehoboth Beach, DE 19971 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798475 | Kool Koala Pediatric & Adolescent Dentistry LLC | Dentist | 1126 Pulaski Hwy, Bear, DE 19701-1306 | 2020-04-03 |
| 1063971745 | Delaware Pediatric Dentistry | Dentist | 625 N Dupont Blvd, Milford, DE 19963-1099 | 2019-03-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | REHOBOTH BEACH |
| Zip Code | 19971 |
Please comment or provide details below to improve the information on COASTAL KIDS PEDIATRIC DENTISTRY, 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.