Brandywine Pediatric Dentistry, P.A.

LBN: Brandywine Pediatric Dentistry, P.A.
Brandywine Pediatric Dentistry, P.A. is an health care organization with primary practice located at 2000 Foulk Rd Ste C , Wilmington DE 19810-3642. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Brandywine Pediatric Dentistry, P.A. can be contacted via phone (302) 475-3110, or through Garrido, Jill L via phone (302) 475-3110.

Contact Information

Primary practice address
2000 Foulk Rd Ste C Wilmington DE 19810-3642
Phone: (302) 475-3110
Fax: (302) 475-5206
Website:
Map and Directions
Authorized official contact:
Name: Garrido, Jill L Doctor of Dental Surgery (DDS)
Phone: (302) 475-3110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1699235937
LBN Legal business name Brandywine Pediatric Dentistry, P.A.
DBA Doing business as
Authorized official Garrido, Jill L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2019
Last updated Nov 25th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699235937 NPPES
Delaware MEDICAID 1003109877

Popular Providers