# DELAWARE CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS PA

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

## Provider details

- **NPI number:** 1265585582
- **Authorized official:** DR. DAVID B ETTINGER MD (PHYSICIAN ORAL SURGEON)
- **Authorized official phone:** (302) 369-1000

## Contact information

- **Practice address:** 131 E CHESTNUT HILL RD, NEWARK, DE 19713-4043
- **Practice address phone:** (302) 369-1000
- **Practice address fax:** (302) 369-6016
- **Mailing address:** 113 INTERLACHEN CT, AVONDALE, PA 19311-9747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | C10005329 | DE | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | G10001099 | DE | — |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020