Organization
STATE OF DELAWARE
Active
Organization
STATE OF DELAWARE
Active
Other names
Division of Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALSTON OWENS II (FISCAL MANAGER)
(302) 744-4861
Entity
Organization
Contact information
Practice address
417 FEDERAL ST, DOVER, DE 19901-3635
(302) 744-4849
(302) 739-1613
Mailing address
417 FEDERAL ST, DOVER, DE 19901-3635
(302) 744-4861
(302) 739-1613
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000117554
—
DE
Enumeration date
11/15/2006
Last updated
03/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up