Delaware Modern Dental

LBN: Delaware Modern Dental
Delaware Modern Dental is an health care organization with primary practice located at 850 Library Ave Suite 102, Newark DE 19711-7170. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Delaware Modern Dental can be contacted via phone (302) 366-8668, or through Fagioletti, Lisa via phone (302) 366-8668.

Contact Information

Primary practice address
850 Library Ave Suite 102 Newark DE 19711-7170
Phone: (302) 366-8668
Fax: (302) 366-8081
Website:
Map and Directions
Authorized official contact:
Name: Fagioletti, Lisa Doctor of Dental Medicine (DMD)
Phone: (302) 366-8668

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2005207645 Delaware

Profile Details

NPI number 1265585046
LBN Legal business name Delaware Modern Dental
DBA Doing business as
Authorized official Fagioletti, Lisa Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1265585046 NPPES
Delaware MEDICAID 1000037168
Delaware MEDICAID 1000036904
Delaware MEDICAID 1000028544

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