Organization
THE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA W JONES (PRACTICE ADMNISTRATOR)
(302) 645-8993
Entity
Organization
Contact information
Practice address
34359 CARPENTERS WAY, LEWES, DE 19958-4910
(302) 645-8993
(302) 645-4506
Mailing address
34359 CARPENTERS WAY, LEWES, DE 19958-4910
(302) 645-8993
(302) 645-4506
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200063082
—
DE
Enumeration date
05/26/2017
Last updated
05/26/2017
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