Delaware Dental Studio LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

G1-0001387 Issued in DE

Legal business name

DELAWARE DENTAL STUDIO LLC

Doing business as

Delaware Dental Studio

Practice address

2500 Grubb Rd Ste 130
Wilmington, DE 19810-4711

Phone

(408) 656-0391

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Zeligs Fee, DDSNPI 1588927198

Title

Member

Phone

(408) 656-0391

Specialties & licenses 1

Addresses

Other names 1

• Delaware Dental Studio Doing business as

Locations

Practitioners 1

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.

• Lynn Zeligs Fee, DDS

  • General Practice Dentistry
  • Springfield, PA
  • NPI 1588927198
  Authorized official Same address or phone

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1932693777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 WOODLAWN AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062236",
            "telephone_number": "408-656-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD STE 130",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104711",
            "telephone_number": "408-656-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE DENTAL STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "FEE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "ZELIGS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "408-656-0391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "DE",
            "license": "G1-0001387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delaware Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dental Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.