# DAGSBORO FAMILY PRACTICE, P.A.

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

## Provider details

- **NPI number:** 1437120110
- **Authorized official:** DR. PRENTISS WAYNE ADKINS SR. D.O. (PRESIDENT)
- **Authorized official phone:** (302) 732-9593

## Contact information

- **Practice address:** 29475 VINES CREEK RD, DAGSBORO, DE 19939-3839
- **Practice address phone:** (302) 732-9593
- **Practice address fax:** (302) 732-9598
- **Mailing address:** 29475 VINES CREEK RD, DAGSBORO, DE 19939-3839
- **Mailing address phone:** (302) 732-9593
- **Mailing address fax:** (302) 732-9598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C2-0002872 | DE | Yes |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 10/17/2007