DELMARVA PROSTHODONTICS PA (NPI# 1336100023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336100023 |
| Entity Type | Organization |
| Organization Name | DELMARVA PROSTHODONTICS PA |
| Practice Address |
871 S Governors Ave Suite 1 Dover DE 19904-4115 |
| Practice Telephone | 3026748331 |
| Practice Fax Number | 3026744342 |
| Mailing Telephone | 3026748331 |
| Mailing Fax Number | 3026744342 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHRISTOPHER DAVID BURNS (PRESIDENT OWNER) |
| Authorized Official Telephone | 3026748331 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
1006 | DE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0001058231 | 05 |
| Street Address |
871 S GOVERNORS AVE SUITE 1 |
| City | DOVER |
| State | DE |
| Zip Code | 19904-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083759674 | Jonathan Burack | Chiropractor | 871 S Governors Ave, Ste 2, Dover, DE 19904 | 2007-02-21 |
| 1669436903 | Christopher David Burns | Dentist | 871 S Governors Ave, Suite #1, Dover, DE 19904-4115 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669436903 | Christopher David Burns | Dentist | 871 S Governors Ave, Suite #1, Dover, DE 19904-4115 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992020390 | Robert M Blitzer | Dentist | 214 S Walnut St, Milford, DE 19963-1958 | 2010-03-29 |
| 1326122110 | John J Thaler II | Dentist | 3512 Silverside Rd, Ste #13, Wilmington, DE 19810 | 2006-10-25 |
| 1992892657 | Patrick Joseph Costello | Dentist | 1601 Kirkwood Highway, Wilmington, DE 19805 | 2006-10-06 |
Please comment or provide details below to improve the information on DELMARVA PROSTHODONTICS PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.