| Christiana Care Oral & Facial Surgery Center | |
|
501 W 14th St Wilmington Hospital, 2nd Floor Wilmington DE 19801-1013 | |
| (302) 428-5730 | |
| (302) 428-5733 |
| Full Name | Christiana Care Oral & Facial Surgery Center |
|---|---|
| Speciality | Dentist |
| Location | 501 W 14th St, Wilmington, Delaware |
| Authorized Official Name and Position | Robert W Mcmurray (CFO) |
| Authorized Official Contact | 3024282522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christiana Care Oral & Facial Surgery Center 200 Hygeia Dr Suite 2300 Newark DE 19713-2049 Ph: (302) 623-7362 | Christiana Care Oral & Facial Surgery Center 501 W 14th St Wilmington Hospital, 2nd Floor Wilmington DE 19801-1013 Ph: (302) 428-5730 |
| NPI Number | 1194073411 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 12/16/2021 |
| Medicare PECOS PAC ID | 9739097569 |
|---|---|
| Medicare Enrollment ID | O20121129000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194073411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Erin Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922265305 PECOS PAC ID: 0143396184 Enrollment ID: I20090916000527 |
| Provider Name | John Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063489169 PECOS PAC ID: 4082746243 Enrollment ID: I20100723000271 |
| Provider Name | Daniel J Meara |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851500789 PECOS PAC ID: 1658564612 Enrollment ID: I20101022000043 |
| Provider Name | Barry C Boyd |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1740232263 PECOS PAC ID: 8729258181 Enrollment ID: I20160711001006 |
| Provider Name | Etern S Park |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124289905 PECOS PAC ID: 9537302542 Enrollment ID: I20160908002619 |
| Provider Name | Kenneth Roll |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912949934 PECOS PAC ID: 9032307939 Enrollment ID: I20220907000323 |
Kirkwood Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Greenbank Rd, Wilmington, DE 19808 Phone: 302-994-2582 Fax: 302-994-5151 | |
Connie F. Cicorelli, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Silverside Rd, Wilmington, DE 19810 Phone: 302-798-5797 Fax: 302-798-9232 | |
J.michael Fay, D.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 Limestone Rd, Suite 304, Wilmington, DE 19808 Phone: 302-998-2244 Fax: 302-995-7134 | |
Burke Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3105 Limestone Rd, Suite 305, Wilmington, DE 19808 Phone: 302-995-7128 | |
Clyde A. Maxwell Jr., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Lea Blvd, Wilmington, DE 19802 Phone: 302-765-3373 Fax: 302-765-3379 | |
Shefali Pandya, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Foulk Rd, Suite 201, Wilmington, DE 19803 Phone: 302-421-9960 Fax: 302-421-9970 | |
Blue Diamond Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Pennsylvania Ave, Suite 2c, Wilmington, DE 19806 Phone: 302-655-8387 Fax: 302-654-7162 |