<Unavail>

LBN: State Of Delaware
<Unavail> is an health care organization with primary practice located at 417 Federal St , Dover DE 19901-3635. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. State Of Delaware can be contacted via phone (302) 744-4548, or through Mcclure, Gregory B via phone (302) 744-4554.

Contact Information

Primary practice address
417 Federal St Dover DE 19901-3635
Phone: (302) 744-4548
Fax: (302) 739-1613
Website:
Map and Directions
Authorized official contact:
Name: Mcclure, Gregory B Doctor of Dental Medicine (DMD)
Phone: (302) 744-4554

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1598837361
LBN Legal business name State Of Delaware
DBA Doing business as <Unavail>
Authorized official Mcclure, Gregory B Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Dec 6th, 2011 - about 15 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 1598837361 NPPES
Delaware MEDICAID 0000087548

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