Organization Active NPI

Wilmington Orthodontic Center LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
National Provider Identifier
1649140799
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WILMINGTON ORTHODONTIC CENTER LLC
Practice address
2300 Pennsylvania Ave Ste 5C
Wilmington, DE 19806-1305
Phone
(302) 658-7354
Fax
(302) 298-0025
NPI assigned
Nov 5, 2025
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Nancy Pancko, DDSNPI 1881946333
Title
Member
Phone
(609) 256-1702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

2300 Pennsylvania Ave Ste 5C
Wilmington, DE 19806-1305

Mailing address

2300 Pennsylvania Ave Ste 5C
Wilmington, DE 19806-1305
Phone (302) 658-7354

National Provider Directory

National Provider Directory

Locations

2300 Pennsylvania Ave
Ste 5C
Wilmington, DE 19806
Phone (302) 652-1533

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1649140799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 5C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061305",
            "telephone_number": "302-658-7354",
            "fax_number": "302-298-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 5C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061305",
            "telephone_number": "302-658-7354",
            "fax_number": "302-298-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON ORTHODONTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "PANCKO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "609-256-1702",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.