Delaware Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DELAWARE DENTAL, P.A.

Practice address

5513 Kirkwood Hwy
Wilmington, DE 19808-5001

Phone

(302) 379-3960

Fax

(302) 994-6237

NPI assigned

Sep 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jason JustisonNPI 1265843783

Title

President

Phone

(302) 994-2660

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Justison

  • General Practice Dentistry
  • Wilmington, DE
  • NPI 1265843783
  NPD Authorized official
• Mark Gladnick, D.D.S.

  • Dentist
  • Wilmington, DE
  • NPI 1710900204
  NPD (past)

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1326866385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085001",
            "telephone_number": "302-379-3960",
            "fax_number": "302-994-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5513 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085001",
            "telephone_number": "302-379-3960",
            "fax_number": "302-994-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "JUSTISON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-994-2660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaware CVS Pharmacy LLC
• Delaware CVS Pharmacy, L.L.C.
• Delaware CVS Pharmacy, L.L.C.
• Delaware Dental Sleep Medicine, LLC
• Delaware Dental Studio LLC
• Delaware Dermatological Medicine, Inc.
• Delaware Diagnostic Imaging, P.a.
• Delaware Diagnostic Services, Inc.
• Delaware Dietitian LLC
• Delaware Eye M.D'S Associates

• General Practice Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.