Delaware Periodontics, P.a.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DELAWARE PERIODONTICS, P.A.

Practice address

1110 N Bancroft Pkwy
Wilmington, DE 19805-2669

Phone

(302) 658-7871

Fax

(302) 652-1174

NPI assigned

Feb 22, 2007

Last updated

Apr 29, 2010By 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

Dr. Bradford L KlassmanNPI 1053391706

Title

Owner/Corporation

Phone

(302) 658-7871

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Bradford L Klassman, D.M.D.

  • Periodontics
  • Wilmington, DE
  • NPI 1053391706
  Authorized official Same address or phone
• Harold A. Dehaven, D.D.S.

  • Periodontics
  • Wilmington, DE
  • NPI 1427266105
  NPD (past)
• Robert Corbin Director

  • Endodontics
  • Wilmington, DE
  • NPI 1861424590
  NPD (past)
• G. William Keller, D.D.S.

  • Periodontics
  • Wilmington, DE
  • NPI 1912120676
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1356476279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BANCROFT PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052669",
            "telephone_number": "302-658-7871",
            "fax_number": "302-652-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N BANCROFT PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052669",
            "telephone_number": "302-658-7871",
            "fax_number": "302-652-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE PERIODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "KLASSMAN",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CORPORATION",
        "authorized_official_telephone_number": "302-658-7871",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaware Pain & Spine Center, Inc.
• Delaware PCR Partners LLC
• Delaware Pediatrics
• Delaware Pedorthics
• Delaware Periodontics and Implants LLC (Wilmington Periodontics and Implants)
• Delaware Physician Associates
• Delaware Physician Partners, LLC
• Delaware Post Acute Medical Services 1
• Delaware Psychiatry, LLC
• Delaware Respite Care (Home Helpers)

• Periodontics in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Periodontics in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.