Organization
FIRST STATE ORAL AND MAXILLOFACIAL SURGERY CORP
Active
Organization
FIRST STATE ORAL AND MAXILLOFACIAL SURGERY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS LYNN DITTY DMD, MD (OWNER)
(302) 674-4450
Entity
Organization
Contact information
Practice address
1004 S STATE ST STE 1, DOVER, DE 19901-6901
(302) 674-4450
(302) 678-3228
Mailing address
1004 S STATE ST STE 1, DOVER, DE 19901-6901
(302) 674-4450
(302) 678-3228
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G100093
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000039185
—
DE
Enumeration date
03/28/2007
Last updated
11/05/2019
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