# DELAWARE ORAL & MAXILLOFACIAL SURGERY,LLC

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

## Provider details

- **NPI number:** 1518205137
- **Authorized official:** DR. SAMUEL C NWOGU D.D.S. (ORAL & MAXILLOFACIAL SURGEON/OWNER)
- **Authorized official phone:** (302) 595-4642

## Contact information

- **Practice address:** 200 BIDDLE AVE, 214, NEWARK, DE 19702-3968
- **Practice address phone:** (302) 595-4642
- **Practice address fax:** (302) 595-4648
- **Mailing address:** 200 BIDDLE AVE, 214, NEWARK, DE 19702-3968
- **Mailing address phone:** (302) 595-4642
- **Mailing address fax:** (302) 595-4648

## 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:** 01/17/2013
- **Last updated:** 01/22/2013