| Georgetown Dental | |
|
417 Federal St Dover DE 19901-3635 | |
| (302) 744-4548 | |
| (302) 739-1613 |
| Full Name | Georgetown Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 417 Federal St, Dover, Delaware |
| Authorized Official Name and Position | Gregory B. Mcclure (DENTAL DIRECTOR) |
| Authorized Official Contact | 3027444554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Dental 417 Federal St Dover DE 19901-3635 Ph: (302) 744-4548 | Georgetown Dental 417 Federal St Dover DE 19901-3635 Ph: (302) 744-4548 |
| NPI Number | 1316019185 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316019185 | NPI | - | NPPES |
| 0000087848 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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