State of Delaware
Organization Active NPI Dental Clinic/Center · Dover, DE
NPI 1316019185 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1316019185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- STATE OF DELAWARE
- Practice address
- 417 Federal St
Dover, DE 19901-3635 - Phone
- (302) 744-4548
- Fax
- (302) 739-1613
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mildred Y Pagan-Perez, DMD
- Title
- Dentist
- Phone
- (302) 744-4548
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- DVH Dental Suite
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
417 Federal St
Dover, DE 19901-3635
Mailing address
417 Federal St
Dover, DE 19901-3635
Phone (302) 744-4548
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000087848 | Medicaid | DE |
Other names
- Bureau of Oral Health and Dental Services
- Georgetown Dental
Other providers in Dover, DE
- State of Delaware
- State of Delaware
- State of Delaware
- State of Delaware
- State of Delaware
- State of Delaware
- State of Delaware
- State of Delaware
- State of Delaware
- State of Delaware
All providers in Dover, DE · Dental Clinic/Center in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.