Organization
BRUCE G. FAY, DMD, PA
Active
Other names
New Concept Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE FAY DMD (OWNER)
(302) 778-3822
Entity
Organization
Contact information
Practice address
900 FOULK RD, SUITE 203, WILMINGTON, DE 19803-3155
(302) 778-3822
(302) 778-3826
Mailing address
900 FOULK RD, SUITE 203, WILMINGTON, DE 19803-3155
(302) 778-3822
(302) 778-3826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000979731
—
DE
Enumeration date
02/09/2007
Last updated
08/22/2020
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