# THE CHRISTIANA CENTER FOR ORAL & MAXILLOFACIAL SURGERY, P.A.

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

## Provider details

- **NPI number:** 1326728825
- **Authorized official:** TAMMY EVANS (PRACTICE MANAGER)
- **Authorized official phone:** (302) 328-6777

## Contact information

- **Practice address:** 114 SAINT ANNES CHURCH RD, MIDDLETOWN, DE 19709-1495
- **Practice address phone:** (302) 376-3700
- **Practice address fax:** (302) 319-5954
- **Mailing address:** PO BOX 49, MIDDLETOWN, DE 19709-0049
- **Mailing address phone:** (302) 328-6777
- **Mailing address fax:** (302) 292-8626

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2023
- **Last updated:** 07/19/2023