State of Delaware

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STATE OF DELAWARE

Practice address

417 Federal St
Dover, DE 19901-3635

Phone

(302) 744-4548

Fax

(302) 739-1613

NPI assigned

Nov 15, 2006

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory B McClure, DMD

Title

Dental Director

Phone

(302) 744-4554

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milford Dental Other name

Tax ID family

Psychiatry Delaware Sta131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Delaware Academy Public Safety and Security

  • Local Education Agency (LEA)
  • New Castle, DE
  • NPI 1558793117
  NPD tax ID
• Division of Substance Abuse and Mental Health

  dba Kent Bridge Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dover, DE
  • NPI 1487365854
  NPD tax ID
• DVH Dental Suite

  • General Practice Dentistry
  • Milford, DE
  • NPI 1588492888
  NPD tax ID
• New Castle Community Mental Health Pharmacy

  • Community/Retail Pharmacy
  • Wilmington, DE
  • NPI 1518912427
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1487720959
  NPD tax ID
• State of Delaware

  dba Woodbridge School District

  • Local Education Agency (LEA)
  • Bridgeville, DE
  • NPI 1487798351
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1508932401
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1548332323
  NPD tax ID
• State of Delaware

  dba Kuumba Academy Charter School

  • Local Education Agency (LEA)
  • Wilmington, DE
  • NPI 1568506434
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1568538031
  NPD tax ID
• State of Delaware

  dba Delaware Military Academy Charter School

  • Local Education Agency (LEA)
  • Wilmington, DE
  • NPI 1578607446
  NPD tax ID
• State of Delaware

  • State or Local Public Health Clinic/Center
  • Dover, DE
  • NPI 1598844755
  NPD tax ID

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1598837361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 FEDERAL ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013635",
            "telephone_number": "302-744-4548",
            "fax_number": "302-739-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FEDERAL ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013635",
            "telephone_number": "302-744-4548",
            "fax_number": "302-739-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "302-744-4554",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000087548",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware
• State of Delaware

• Dental Clinic/Center in Dover, DE
• Providers in Dover, DE by specialty
• Dental Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.