Christiana Center for Oral & Maxillofacial Surgery, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CHRISTIANA CENTER FOR ORAL & MAXILLOFACIAL SURGERY, P.A.

Practice address

2005 Concord Pike Ste 200
Wilmington, DE 19803-2982

Phone

(302) 292-1600

Fax

(302) 292-8629

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Tammy Evans

Title

Practice Manager

Phone

(302) 328-6777

Specialties & licenses 1

Addresses

Tax ID family

Christiana Center for Oral Maxillofacial Surgery PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Christiana Center for Oral & Maxillofacial Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Middletown, DE
  • NPI 1326728825
  NPD tax ID

Locations

Practitioners 4

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

• Michael David D'Amico, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, DE
  • NPI 1972948198
  NPD (past)
• Eugene Michael Damico III, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, DE
  • NPI 1386699379
  NPD (past)
• Ahmad Eltejaye, D.M.D, M.P.H

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, DE
  • NPI 1134565963
  NPD (past)
• Fadi N. Kosa, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1548527104
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1629773247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197090049",
            "telephone_number": "302-328-6777",
            "fax_number": "302-292-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 CONCORD PIKE STE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032982",
            "telephone_number": "302-292-1600",
            "fax_number": "302-292-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Saint Annes Church Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197091495",
            "country_code": "US",
            "telephone_number": "302-376-3700",
            "fax_number": "302-292-8629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIANA CENTER FOR ORAL & MAXILLOFACIAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "302-328-6777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Care Quality Partners
• Christiana Care Quality Partners
• Christiana Care Quality Partners
• Christiana Care Riverside Adult Day Program
• Christiana Care-Rockwood Physicians, PA
• Christiana Counseling and Psychiatric Associates Inc.
• Christianacare Virtual Health Practice PA
• Christianacare Virtual Health Practice PA
• Joseph Christiano, RPH
• Christina Watlington PHD Inc

• 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 Jun 6, 2024; 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.