Paolino Oral & Facial Surgery Center PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PAOLINO ORAL & FACIAL SURGERY CENTER PA

Practice address

1708 Lovering Ave Ste 101
Wilmington, DE 19806-2141

Phone

(302) 319-4852

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Robert Paolino, D.M.D.NPI 1467814699

Title

President

Phone

(302) 319-4852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, PA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Christopher Robert Paolino, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1467814699

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1447929104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BRINTON LAKE RD",
            "city": "THORNTON",
            "state": "PA",
            "postal_code": "193731090",
            "telephone_number": "610-717-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 LOVERING AVE STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062141",
            "telephone_number": "302-319-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLINO ORAL & FACIAL SURGERY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "PAOLINO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-319-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean J Pantal, CRNP
• Judith Benedict Pantalino, LPCMH
• Victoria Paoletti, PHARM.D.
• Samuel Paoli, LPC
• Vincent Emanuel Paolicelli Jr., D.C.
• Christopher Robert Paolino, D.M.D.
• Benjamin Kanter Para, DMD
• Christine M Parackel, OTRL
• Paradigm Healthcare Associates, Inc
• Desiree Paramore, DC

• Oral and Maxillofacial Surgery (Dentist) in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.