Organization Active NPI

Woodmill Dental LLC

  • Dentist
  • Wilmington, DE
National Provider Identifier
1770037400
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0001278 Issued in DE
Legal business name
WOODMILL DENTAL LLC
Practice address
5185 W Woodmill Dr
Suite #2
Wilmington, DE 19808-4067
Phone
(302) 998-8588
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
John Eum, D.D.S
Title
Member
Phone
(347) 229-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X G1-0001278 DE Primary

Addresses

Primary practice location

5185 W Woodmill Dr
Suite #2
Wilmington, DE 19808-4067

Mailing address

5185 W Woodmill Dr
Suite #2
Wilmington, DE 19808-4067

National Provider Directory

National Provider Directory

Locations

5185 W Woodmill Dr
Ste 2
Wilmington, DE 19808
Phone (302) 996-6477

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1770037400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 W WOODMILL DR",
            "address_2": "SUITE #2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 W WOODMILL DR",
            "address_2": "SUITE #2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084067",
            "telephone_number": "302-998-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMILL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "EUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-229-5411",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0001278",
            "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 Aug 10, 2016; 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.