Organization
CHRISTIANA CENTER FOR ORAL & MAXILLOFACIAL SURGERY, P.A.
Active
Organization
CHRISTIANA CENTER FOR ORAL & MAXILLOFACIAL SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE MICHAEL DAMICO III D.D.S. (PRESIDENT)
(302) 292-1600
Entity
Organization
Contact information
Practice address
4133 OGLETOWN STANTON RD STE 200, NEWARK, DE 19713-4187
(130) 232-8677
(023) 195-9543
Mailing address
4133 STANTON OGLETWN RD STE 200, NEWARK, DE 19713-4187
(302) 292-1600
(302) 319-5954
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G1-0000952
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000189002
—
DE
01
—
000540991
HIGHMARK BLUE SHIELD
—
01
—
0116093000
AMERIHEALTH
—
01
—
199367325
CAREFIRST BLUE CROSS BLUE SHIELD OF DELAWARE
DE
01
—
4300241
AETNA
—
Enumeration date
05/23/2006
Last updated
02/09/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up