Organization
DELAWARE DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY PANCKO (MEMBER)
(609) 256-1702
Entity
Organization
Contact information
Practice address
20785 PROFESSIONAL PARK BLVD, GEORGETOWN, DE 19947-3198
(302) 855-9499
Mailing address
101 MULBERRY LN, MEDIA, PA 19063-1627
(609) 256-1702
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/03/2024
Last updated
11/05/2025
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