Blue Diamond Dental Pa

LBN: Blue Diamond Dental Pa
Blue Diamond Dental Pa is an health care organization with primary practice located at 2300 Pennsylvania Ave Suite 2C, Wilmington DE 19806-1392. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Blue Diamond Dental Pa can be contacted via phone (302) 655-8387, or through Daniels, Vincent James via phone (302) 655-8387.

Contact Information

Primary practice address
2300 Pennsylvania Ave Suite 2C Wilmington DE 19806-1392
Phone: (302) 655-8387
Fax: (302) 654-7162
Website:
Map and Directions
Authorized official contact:
Name: Daniels, Vincent James Doctor of Dental Medicine (DMD)
Phone: (302) 655-8387

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1084 Delaware

Profile Details

NPI number 1073658753
LBN Legal business name Blue Diamond Dental Pa
DBA Doing business as
Authorized official Daniels, Vincent James Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073658753 NPPES
Delaware MEDICAID 1000021630

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