NPIMap

Organization Active NPI

Small Wonder Family Dental

  • General Practice Dentistry
  • Newark, DE
National Provider Identifier
1386897973
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1208 Issued in DE
Legal business name
SMALL WONDER FAMILY DENTAL
Practice address
715 Nottingham Rd
Newark, DE 19711-7406
Phone
(302) 525-6463
Fax
(302) 525-6456
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. David John Gaz, DMDNPI 1699836742
Title
Owner
Phone
(302) 525-6463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1208 DE Primary

Addresses

Primary practice location

715 Nottingham Rd
Newark, DE 19711-7406

Mailing address

715 Nottingham Rd
Newark, DE 19711-7406
Phone (302) 525-6463

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1386897973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 NOTTINGHAM RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117406",
            "telephone_number": "302-525-6463",
            "fax_number": "302-525-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NOTTINGHAM RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117406",
            "telephone_number": "302-525-6463",
            "fax_number": "302-525-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL WONDER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "GAZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-525-6463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 28, 2008; 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.