Organization
J.MICHAEL FAY, D.D.S.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHRISTOHER DELLOSE D.M.D. (PRESIDENT)
(302) 998-2244
Entity
Organization
Contact information
Practice address
3105 LIMESTONE RD, SUITE 304, WILMINGTON, DE 19808-2147
(302) 998-2244
(302) 995-7134
Mailing address
3105 LIMESTONE RD, SUITE 304, WILMINGTON, DE 19808-2147
(302) 998-2244
(302) 995-7134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEA#AF4127230
DE
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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