Organization
BRIAN MCALLISTER, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SCOTT MCALLISTER (OWNER)
(302) 376-0617
Entity
Organization
Contact information
Practice address
200 CLEAVER FARM RD, SUITE 101, MIDDLETOWN, DE 19709-1630
(302) 376-0617
(302) 376-0413
Mailing address
200 CLEAVER FARM RD., SUITE 101, MIDDLETOWN, DE 19709
(302) 376-0617
(302) 376-0413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G10001043
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000904008
—
DE
Enumeration date
03/08/2007
Last updated
08/22/2020
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