The Christiana Center for Oral & Maxillofacial Surgery, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

THE CHRISTIANA CENTER FOR ORAL & MAXILLOFACIAL SURGERY, P.A.

Practice address

114 Saint Annes Church Rd
Middletown, DE 19709-1495

Phone

(302) 376-3700

Fax

(302) 319-5954

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Evans

Title

Practice Manager

Phone

(302) 328-6777

Specialties & licenses 1

Addresses

Tax ID family

Christiana Center for Oral Maxillofacial Surgery PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Christiana Center for Oral & Maxillofacial Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1629773247
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene Michael Damico III, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, DE
  • NPI 1386699379
  NPD (past)

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1326728825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197090049",
            "telephone_number": "302-328-6777",
            "fax_number": "302-292-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SAINT ANNES CHURCH RD",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091495",
            "telephone_number": "302-376-3700",
            "fax_number": "302-319-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHRISTIANA CENTER FOR ORAL & MAXILLOFACIAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-328-6777"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Middletown, DE
• Providers in Middletown, 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 Jul 19, 2023; 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.