# MOBILE DENTAL CARE OF DELAWARE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134782576
- **Authorized official:** MR. ROBERT LEWIS CARTER DDS (PRESIDENT)
- **Authorized official phone:** (302) 304-4476

## Contact information

- **Practice address:** 239 CYPRESS AVE, LINDENWOLD, NJ 08021
- **Practice address phone:** (708) 744-9188
- **Mailing address:** 2314 ROUTE 59, SUITE 384, PLANIFIELD, IL 60586
- **Mailing address phone:** (708) 744-9188
- **Mailing address fax:** (708) 429-5715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2019
- **Last updated:** 02/14/2020