# MID-ATLANTIC CENTER FOR ORAL & MAXILLOFACIAL SURGERY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1184166803
- **Authorized official:** ERIC SPENCER DDS (OWNER)
- **Authorized official phone:** (302) 629-3588

## Contact information

- **Practice address:** 8466 HERRING RUN RD, SUITE D, SEAFORD, DE 19973-5763
- **Practice address phone:** (302) 629-3588
- **Practice address fax:** (302) 629-0440
- **Mailing address:** 8466 HERRING RUN RD, SUITE D, SEAFORD, DE 19973-5763
- **Mailing address phone:** (302) 629-3588
- **Mailing address fax:** (302) 629-0440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | DE | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | DE | Yes |

## Other

- **Enumeration date:** 11/11/2016
- **Last updated:** 03/16/2017