WILMINGTON ORTHODONTIC CENTER (NPI# 1922518059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922518059 |
| Entity Type | Organization |
| Organization Name | WILMINGTON ORTHODONTIC CENTER |
| Other Organization Name | SOUTHERN DELAWARE DENTAL SPECIALISTS |
| Practice Address |
20785 Professional Park Blvd Georgetown DE 19947-3198 |
| Practice Telephone | 3028559499 |
| Mailing Telephone | 3028559499 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Authorized Official Name | DR. NANCY PANCKO (MEMBER) |
| Authorized Official Telephone | 3028559499 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DE | Dental Providers | |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE | Dental Providers |
| Other Name | Type Code |
|---|---|
| Southern Delaware Dental Specialists | Doing Business As Name - Organization |
| Street Address |
20785 PROFESSIONAL PARK BLVD |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558726000 | Georgetown Dental Associates | Dentist | 20785 Professional Park Blvd, Georgetown, DE 19947-3198 | 2015-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| 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 |
|---|---|---|---|---|
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1790986883 | Robert Edwin Deane | Dentist | 301 Church Street, Georgetown, SC 29440 | 2007-05-29 |
| 1821141987 | Timonthy J Pence | Dentist | 420 Church Street, Georgetown, SC 29440 | 2007-01-19 |
| 1740339902 | Bruce Edison Bentley Jr. | Dentist | 1229 Leander Rd, Georgetown, TX 78628-8707 | 2007-01-09 |
| 1245340819 | Kenny M Baird | Dentist | 800 Lakeway Drive, Georgetown, TX 78628 | 2006-08-30 |
| 1629519590 | Ross Brenner | Dentist | 1135 W University Ave, Georgetown, TX 78628-5313 | 2017-03-13 |
| 1043462047 | Robert E Deane, Dmd, Ms,pa | Dentist | 301 Church St, Georgetown, SC 29440-2405 | 2008-10-21 |
| 1669536736 | Monica Goldenberg | Dentist | 3007 Dawn Dr, Suite 103, Georgetown, TX 78628 | 2006-12-21 |
| 1013928639 | Timothy R Collins | Dentist | 800 Lakeway Dr, Georgetown, TX 78628-4213 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679139448 | Delaware Braces, LLC | Dentist | 2444 Pulaski Hwy Ste 200, Newark, DE 19702-3906 | 2019-05-16 |
| 1174648125 | Orthodontics On Silver Lake, Pa | Dentist | 42 Hiawatha Ln, Dover, DE 19904-2401 | 2007-03-20 |
| 1700915014 | Fred S Fink | Dentist | 3518 Silverside Rd, 23 The Commons, Wilmington, DE 19810-4907 | 2007-03-04 |
| 1841341591 | Greeley & Nista Orthodontics, Pa | Dentist | 1405 Silverside Rd, Wilmington, DE 19810-4445 | 2007-01-16 |
| 1386731230 | Gary R Collins | Dentist | 5500 Skyline Drive, Suite 1, Wilmington, DE 19808 | 2006-10-10 |
| 1083230494 | Sleepy Tooth Orthodontics LLC | Dentist | 26670 Centerview Dr Unit 19, Millsboro, DE 19966-3584 | 2020-06-22 |
| 1437661709 | Sita Patel | Dentist | 1004 S State St, Dover, DE 19901-6925 | 2017-10-26 |
| 1235594268 | Ahl and O'connor Orthodontics, LLC | Dentist | 1004 S State St, Suite #3, Dover, DE 19901-6925 | 2015-12-17 |
| 1881946333 | Nancy Kate Pancko | Dentist | 2300 Pennsylvania Ave, Suite 5c, Wilmington, DE 19806-1392 | 2012-10-09 |
| 1447516661 | Charis Maria O'connor | Dentist | 850 S State St, Dover, DE 19901-4113 | 2012-04-02 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 19947 |
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| 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.