Dental Bear LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL BEAR LLC

Practice address

1229 Quintilio Dr
Bear, DE 19701-6005

Phone

(302) 656-4557

Fax

(302) 656-4661

NPI assigned

Mar 11, 2019

Organization subpart

Yes

Parent organization

DENTAL DIAMOND LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Mary Sylvester

Title

Billing/Insurance Coordinator

Phone

(302) 656-4557

Specialties & licenses 1

Addresses

Part of

Dental Diamond LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Dental Diamond LLC

  • Dental Clinic/Center
  • Wilmington, DE
  • NPI 1447729645
  NPPES parent name

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1104384973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WINSTON AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198041760",
            "telephone_number": "302-656-8266",
            "fax_number": "302-656-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 QUINTILIO DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016005",
            "telephone_number": "302-656-4557",
            "fax_number": "302-656-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL BEAR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL DIAMOND LLC",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING/INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "302-656-4557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samuel Devard
• Laurence Devlin

• All providers in Bear, DE
• Dentist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.