Active NPI
Eugene Michael Damico III, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Newark, DE
National Provider Identifier
1386699379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- G1-0000952
- Practice address
- 4735 Stanton Ogletwn Rd
Map 2, Ste. 1115
Newark, DE 19713-2072 - Phone
- (302) 292-1600
- Fax
- (302) 292-8629
- NPI assigned
- May 24, 2006
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | G1-0000952 | DE | Primary |
Addresses
Primary practice location
4735 Stanton Ogletwn Rd
Map 2, Ste. 1115
Newark, DE 19713-2072
Mailing address
4735 Stanton Ogletwn Rd
Map 2, Ste. 1115
Newark, DE 19713-2072
Phone (302) 292-1600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000189002 | Medicaid | DE | |
| 0116093000 | Other | AMERIHEALTH | |
| 000540991 | Other | HIGHMARK BLUE SHIELD | |
| 4300241 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0000952 | DE | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christiana Center for Oral & Maxillofacial Surgery, P.a. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Christiana Center for Oral & Maxillofacial Surgery, P.a. | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Newark, DE
- NPI 1740235449
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, DE
- NPI 1629773247
-
- Oral and Maxillofacial Surgery (Dentist)
- Middletown, DE
- NPI 1326728825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1386699379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 STANTON OGLETWN RD",
"address_2": "MAP 2, STE. 1115",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-292-1600",
"fax_number": "302-292-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 STANTON OGLETWN RD",
"address_2": "MAP 2, STE. 1115",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-292-1600",
"fax_number": "302-292-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMICO",
"first_name": "EUGENE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "DE",
"license": "G1-0000952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000189002",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0116093000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "000540991",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4300241",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.