Active NPI
Robert E Sundquist, DMD
- Dentist
- Milford, DE
National Provider Identifier
1528045226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G1-0001187
- Practice address
- 253 NE Front St
Milford State Service Center at Riverwalk Dental Clinic
Milford, DE 19963-1431 - Phone
- (302) 424-7160
- Fax
- (302) 424-7203
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | G1-0001187 | DE | Primary |
Addresses
Primary practice location
253 NE Front St
Milford State Service Center at Riverwalk Dental Clinic
Milford, DE 19963-1431
Mailing address
286 Troon Rd
Dover, DE 19904-2371
Phone (302) 677-1829
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001187 | DE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322092800000",
"number": "1528045226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 TROON RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199042371",
"telephone_number": "302-677-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 NE FRONT ST",
"address_2": "MILFORD STATE SERVICE CENTER AT RIVERWALK DENTAL CLINIC",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631431",
"telephone_number": "302-424-7160",
"fax_number": "302-424-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDQUIST",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2011-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "G1-0001187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.