Dover Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

G1-0001269 Issued in DE

Legal business name

DOVER ORAL AND MAXILLOFACIAL SURGERY

Practice address

712 S Governors Ave
Dover, DE 19904-4106

Phone

(302) 674-1140

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Franklin Xavier Pancko Jr., DDS

Title

Oral and Maxillofacial Surgeon

Phone

(443) 939-0942

Specialties & licenses 1

Addresses

Practitioners 2

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

• Norman M Lippman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Dover, DE
  • NPI 1437250008

  Oral and Maxillofacial Surgery

  NPD (past)
• Mark-Anthony Chike Umobi, M.D.

  • Obstetrics & Gynecology Physician
  • Dover, DE
  • NPI 1649475666
  NPD (past)

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1619102811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WAYNE AVE APT 28M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672554",
            "telephone_number": "443-939-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044106",
            "telephone_number": "302-674-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "PANCKO",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "443-939-0942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "G1-0001269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dover Family Physicians PA
• Dover Health Care Associates Inc
• Dover Health Care Center
• Dover OB-GYN Associates LLC
• Dover Ophthalmology ASC, LLC
• Dover Podiatry Group, P.a.
• Dover Pulmonary, P.a.
• Dover Surgical Associates,P.a.
• Dover Surgicenter, LLC
• Dover Universal LLC

• All providers in Dover, DE
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.