Organization
COASTAL KIDS PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA S DI CERBO D.M.D. (PEDIATRIC DENTIST)
(610) 733-4300
Entity
Organization
Contact information
Practice address
18947 JOHN J WILLIAMS HWY, SUITE 309, REHOBOTH BEACH, DE 19971-4474
(610) 733-4300
Mailing address
18947 JOHN J WILLIAMS HWY, SUITE 309, REHOBOTH BEACH, DE 19971-4474
(610) 733-4300
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
G1-0001296
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171999
GUARDIAN
—
01
—
1821433145
DELTA DENTAL
—
05
—
1821433145
—
DE
01
—
271596
CIGNA
—
Enumeration date
04/30/2013
Last updated
05/04/2016
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