Nathaniel J Bent, DDS
Individual provider Active NPI Dentist · Wilmington, DE
NPI 1336209261 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1336209261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- G10001205 (DE)
- Practice address
- 1907 Shallcross Ave
Suite 25
Wilmington, DE 19806-2325 - Phone
- (443) 756-1513
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10001205 | DE | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | G10001205 | DE | Yes |
Addresses
Primary practice location
1907 Shallcross Ave
Suite 25
Wilmington, DE 19806-2325
Mailing address
1907 Shallcross Ave
Suite 25
Wilmington, DE 19806-2325
Phone (443) 756-1513
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2013. 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.