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

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

## Provider details

- **NPI number:** 1740235449
- **Authorized official:** DR. EUGENE MICHAEL DAMICO III D.D.S. (PRESIDENT)
- **Authorized official phone:** (302) 292-1600

## Contact information

- **Practice address:** 4133 OGLETOWN STANTON RD STE 200, NEWARK, DE 19713-4187
- **Practice address phone:** (130) 232-8677
- **Practice address fax:** (023) 195-9543
- **Mailing address:** 4133 STANTON OGLETWN RD STE 200, NEWARK, DE 19713-4187
- **Mailing address phone:** (302) 292-1600
- **Mailing address fax:** (302) 319-5954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | G1-0000952 | DE | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 02/09/2023