Individual
DUSTIN RICHARD ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1600 ROCKLAND RD, WILMINGTON, DE 19803-3607
(302) 651-4000
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
000000000
PA
1223P0221X
Pediatric Dentistry
G3-0000461
DE
Other
Enumeration date
07/15/2015
Last updated
07/21/2022
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