Diamond State Dentistry
Organization Active NPI Dentist · Milford, DE
NPI 1689700775 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1689700775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- DIAMOND STATE DENTISTRY
- Practice address
- 215 West Liberty Way
Milford, DE 19963 - Phone
- (302) 424-7976
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Lucinda K Bunting, DMD
- Title
- Owner
- Phone
- (302) 424-7976
Practitioners 4
-
Halleh Asadpour, D.M.D
-
Lucinda K Bunting, DMD
-
Philip Oliver Sels, D.M.D.
National Provider Directory
Locations
215 W Liberty Way
Milford, DE 19963
Phone (302) 424-7976
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 1023 | DE | |
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
215 West Liberty Way
Milford, DE 19963
Mailing address
215 West Liberty Way
Milford, DE 19963
Phone (302) 424-7976
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100023496 | Medicaid | DE | |
| 728083 | Other | DE | UNITED CONCORDIA |
Other names
- Lucinda K Bunting
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.