Individual
DR. DAVID B. ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. D.M.D.
Contact information
Practice address
131 E CHESTNUT HILL RD, NEWARK, DE 19713-4043
(302) 369-1000
(302) 369-6016
Mailing address
131 E CHESTNUT HILL RD, NEWARK, DE 19713-4043
(302) 369-1000
(302) 369-6016
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G1-0001099
DE
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
C1-0005329
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000939002
—
DE
05
—
1000033783
—
DE
01
—
268440
OPTIMUM CHOICE
—
01
—
2940
PRINCIPLE/COVENTRY
—
01
—
510214XMD
BC/BS
—
01
—
P10315
MIDATLANTIC
—
Enumeration date
07/21/2006
Last updated
09/11/2025
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