Douglas Lynn Ditty, M.D., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

GI-0001193 Issued in DE

Practice address

1004 S State St Ste 1
Dover, DE 19901-6901

Phone

(302) 674-4450

Fax

(302) 678-3228

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dditty23075@beebehealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern de Oral and Maxillofacial Surgery Associates, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Lewes, DE
  • NPI 1629144589
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1033257530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S STATE ST",
            "address_2": "STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016925",
            "telephone_number": "302-674-4450",
            "fax_number": "302-678-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S STATE ST STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016901",
            "telephone_number": "302-674-4450",
            "fax_number": "302-678-3228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9096 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733658",
            "country_code": "US",
            "telephone_number": "302-629-3588",
            "fax_number": "302-404-5724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19323 Lighthouse Plaza Blvd Unit 4",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199716162",
            "country_code": "US",
            "telephone_number": "302-226-1606",
            "fax_number": "302-226-1609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTY",
        "first_name": "DOUGLAS",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "GI-0001193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039259",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Dinunno, LPC
• Sheila Lee Dirocco, APRN, AGCNS-BC
• Michael Dominick Disanti, AU.D.
• Dispatch Center of Marketing and Sales
• Robert Anthony Distefano, DC
• Divine Destinations Transport LLC
• Divine Zone, LLC
• Division of Substance Abuse and Mental Health
• Jennifer Ferguson Divita, MPT, CSCS
• Brittany Marie Dixon, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Dover, DE
• Providers in Dover, DE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.