| Thomas R. Mullen, Dmd, Pa | |
|
8466 Herring Run Rd Suite D Seaford DE 19973-5763 | |
| (302) 629-3588 | |
| (302) 629-0274 |
| Full Name | Thomas R. Mullen, Dmd, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8466 Herring Run Rd, Seaford, Delaware |
| Authorized Official Name and Position | Thomas R Mullen (OWNER) |
| Authorized Official Contact | 3026293588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R. Mullen, Dmd, Pa 8466 Herring Run Rd Suite D Seaford DE 19973-5763 Ph: (302) 629-3588 | Thomas R. Mullen, Dmd, Pa 8466 Herring Run Rd Suite D Seaford DE 19973-5763 Ph: (302) 629-3588 |
| NPI Number | 1144355173 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144355173 | NPI | - | NPPES |
| 0000081302 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | G1000885 (Delaware) | Primary |
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