Concord Dental, Llc

LBN: Concord Dental, Llc
Concord Dental, Llc is an health care organization with primary practice located at 2304 Concord Pike , Wilmington DE 19803-2912. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Concord Dental, Llc can be contacted via phone (302) 791-3750, or through Goleburn, Glen via phone (302) 836-3750.

Contact Information

Primary practice address
2304 Concord Pike Wilmington DE 19803-2912
Phone: (302) 791-3750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goleburn, Glen Doctor of Dental Medicine (DMD)
Phone: (302) 836-3750

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1306311519
LBN Legal business name Concord Dental, Llc
DBA Doing business as
Authorized official Goleburn, Glen Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2018
Last updated Oct 4th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306311519 NPPES
Delaware MEDICAID 122300000X

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