CDH Delaware Orthodontics, LLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

CDH DELAWARE ORTHODONTICS, LLC

Practice address

3301 Lancaster Pike
Wilmington, DE 19805-1436

Phone

(302) 803-6560

Fax

(302) 803-6561

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CHILDREN'S DENTAL HEALTH OF DELAWARE, LLCAs reported in NPPES

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

Authorized official

Name

Phi Le

Title

Credentialing Contracts Manager

Phone

(267) 575-2321

Specialties & licenses 1

Addresses

Part of

Children's Dental Health of Delaware LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Children's Dental Health of Delaware, LLC

  • Pediatric Dentistry
  • Wilmington, DE
  • NPI 1083189609
  NPPES parent name

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1831863737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILLOWBROOK LN STE 330",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LANCASTER PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051436",
            "telephone_number": "302-803-6560",
            "fax_number": "302-803-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Foulk Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033734",
            "country_code": "US",
            "telephone_number": "302-764-7714",
            "fax_number": "302-764-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CDH DELAWARE ORTHODONTICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S DENTAL HEALTH OF DELAWARE, LLC",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHI",
        "authorized_official_title_or_position": "CREDENTIALING CONTRACTS MANAGER",
        "authorized_official_telephone_number": "267-575-2321"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Cavanaugh
• Michele Cavanaugh, APRN
• Bianca Cavedoni Urbano, MD
• Daniel Albert Caycedo, M.D.
• Emi H Caywood, MD
• Janelle Marie Cecchini
• Todd Francis Cox Cecchini, PHYSICIAN ASSISTANT
• Celestial Community Services LLC
• Sandhya E Celestin, MSW,LSW,LCDP, ICADC
• Michael F Cellucci, MD

• Oral and Maxillofacial Pathology Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Oral and Maxillofacial Pathology Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.