Organization Active NPI

Children'S Dental Health of Delaware, LLC

  • Pediatric Dentistry
  • Wilmington, DE
National Provider Identifier
1083189609
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S DENTAL HEALTH OF DELAWARE, LLC
Practice address
3301 Lancaster Pike # 3E3F
Wilmington, DE 19805-1436
Phone
(302) 803-6560
Fax
(302) 803-6561
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
Patricia Hower
Title
Credentialing Manager
Phone
(610) 500-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3301 Lancaster Pike # 3E3F
Wilmington, DE 19805-1436

Mailing address

200 Willowbrook LN Ste 220
West Chester, PA 19382-5697
Phone (610) 500-2042

National Provider Directory

National Provider Directory

Locations

3301 Lancaster Pike
Ste 3E
Wilmington, DE 19805
Phone (302) 803-6560

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1083189609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WILLOWBROOK LN STE 220",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825697",
            "telephone_number": "610-500-2042",
            "fax_number": "610-884-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LANCASTER PIKE # 3E3F",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051436",
            "telephone_number": "302-803-6560",
            "fax_number": "302-803-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL HEALTH OF DELAWARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "610-500-2042"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.