| Smile To Smile Family Dental & Sedation Center, P.a. | |
|
429 S Governors Ave Dover DE 19904-6707 | |
| (302) 222-8106 | |
| (302) 736-0732 |
| Full Name | Smile To Smile Family Dental & Sedation Center, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 429 S Governors Ave, Dover, Delaware |
| Authorized Official Name and Position | Dawn M Grandison (PRESIDENT) |
| Authorized Official Contact | 3022228106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile To Smile Family Dental & Sedation Center, P.a. 83 Merion Rd Dover DE 19904-2320 Ph: (302) 222-8106 | Smile To Smile Family Dental & Sedation Center, P.a. 429 S Governors Ave Dover DE 19904-6707 Ph: (302) 222-8106 |
| NPI Number | 1386966059 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386966059 | NPI | - | NPPES |
| 1000024575 | Medicaid | DE | |
| 0001030831 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | G1-0001161 (Delaware) | Primary |
| 261QD0000X | Clinic/center - Dental | G4-0001201 (Delaware) | Secondary |
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