Organization
DELAWARE CENTER FOR ORAL SURGERY AND DENTAL IMPLANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B ETTINGER MD (PHYSICIAN ORAL SURGEON)
(302) 369-1000
Entity
Organization
Contact information
Practice address
131 E CHESTNUT HILL RD, NEWARK, DE 19713-4043
(302) 369-1000
(302) 369-6016
Mailing address
113 INTERLACHEN CT, AVONDALE, PA 19311-9747
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
C10005329
DE
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
G10001099
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000932401
—
DE
Enumeration date
01/19/2007
Last updated
08/22/2020
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