Peter F. Subach DMD,PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

G10001087 Issued in DE

Legal business name

PETER F. SUBACH DMD,PA

Practice address

1601 Milltown Rd
Suite#17
Wilmington, DE 19808-4027

Phone

(302) 995-1870

Fax

(302) 995-9568

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Peter F. Subach, DMD

Title

President

Phone

(302) 995-1870

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Rambod Abedini, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Wilmington, DE
  • NPI 1437500592
  NPD
• Minsung Bradley Kim

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1770041683
  NPD (past)

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1952661902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "SUITE#17",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084027",
            "telephone_number": "302-995-1870",
            "fax_number": "302-995-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "SUITE#17",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084027",
            "telephone_number": "302-995-1870",
            "fax_number": "302-995-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER F. SUBACH DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "SUBACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-995-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "G10001087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "OOA187L88",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peter R. Coggins MD PA
• Peter Schatzberg, D.C. (Delaware Pain Management and MRI)
• Michael B Peters, M.D.
• Teresa Michelle Peters, PA-C
• -Julie Frances Peterson, D.M.D.

• Oral and Maxillofacial Surgery (Dentist) in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.