| Christiana Center For Oral & Maxillofacial Surgery, P.a. | |
|
4133 Ogletown Stanton Rd Ste 200 Newark DE 19713-4187 | |
| (130) 232-8677 | |
| (023) 195-9543 |
| Full Name | Christiana Center For Oral & Maxillofacial Surgery, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 4133 Ogletown Stanton Rd Ste 200, Newark, Delaware |
| Authorized Official Name and Position | Eugene Michael Damico (PRESIDENT) |
| Authorized Official Contact | 3022921600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christiana Center For Oral & Maxillofacial Surgery, P.a. 4133 Stanton Ogletwn Rd Ste 200 Newark DE 19713-4187 Ph: (302) 292-1600 | Christiana Center For Oral & Maxillofacial Surgery, P.a. 4133 Ogletown Stanton Rd Ste 200 Newark DE 19713-4187 Ph: (130) 232-8677 |
| NPI Number | 1740235449 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 0143397414 |
|---|---|
| Medicare Enrollment ID | O20080929000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740235449 | NPI | - | NPPES |
| 000540991 | Other | HIGHMARK BLUE SHIELD | |
| 0000189002 | Medicaid | DE | |
| 4300241 | Other | AETNA | |
| 199367325 | Other | DE | CAREFIRST BLUE CROSS BLUE SHIELD OF DELAWARE |
| 0116093000 | Other | AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | G1-0000952 (Delaware) | Primary |
| Provider Name | Eugene M D Amico |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386699379 PECOS PAC ID: 3870660145 Enrollment ID: I20080929000445 |
| Provider Name | Eric W Spencer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790947265 PECOS PAC ID: 5294014106 Enrollment ID: I20161117000709 |
| Provider Name | Michael D D'amico |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972948198 PECOS PAC ID: 5597997023 Enrollment ID: I20170915002087 |
| Provider Name | Habib T Asmaro |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1487008397 PECOS PAC ID: 0042505638 Enrollment ID: I20230117000371 |
| Provider Name | Ahmad Eltejaye |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134565963 PECOS PAC ID: 4486976388 Enrollment ID: I20231014000565 |
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