Organization Active NPI

Delaware Gentle Dental Group

  • Dental Clinic/Center
  • Smyrna, DE
National Provider Identifier
1497880942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DELAWARE GENTLE DENTAL GROUP
Practice address
17 N Main St
Smyrna, DE 19977-1111
Phone
(302) 514-6200
Fax
(302) 514-6204
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clyde A Maxwell Jr., DDS
Title
Dentist
Phone
(302) 514-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17 N Main St
Smyrna, DE 19977-1111

Mailing address

17 N Main St
Smyrna, DE 19977-1111
Phone (302) 514-6200

Other names 1

  • Gentle Touch Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

17 N Main St
Smyrna, DE 19977
Phone (302) 335-6742

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497880942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MAIN ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771111",
            "telephone_number": "302-514-6200",
            "fax_number": "302-514-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N MAIN ST",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771111",
            "telephone_number": "302-514-6200",
            "fax_number": "302-514-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE GENTLE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "302-514-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Touch Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.