| Louie Pediatric Dentistry | |
|
250 Beiser Blvd Ste 101 Dover DE 19904-7795 | |
| (302) 674-5437 | |
| (302) 672-9091 |
| Full Name | Louie Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 250 Beiser Blvd Ste 101, Dover, Delaware |
| Authorized Official Name and Position | Phillip James Louie (OWNER) |
| Authorized Official Contact | 3026745437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louie Pediatric Dentistry 250 Beiser Blvd Ste 101 Dover DE 19904-7795 Ph: (302) 674-5437 | Louie Pediatric Dentistry 250 Beiser Blvd Ste 101 Dover DE 19904-7795 Ph: (302) 674-5437 |
| NPI Number | 1538866108 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538866108 | NPI | - | NPPES |
| 200108804 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
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