Collins, Dale Richard
Collins, Dale Richard is an sole proprietor health care provider with primary practice located at 5500 Skyline Dr , Wilmington DE 19808-1772. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Collins, Dale Richard can be contacted via phone (302) 239-3655.Contact Information
Primary practice address
5500 Skyline Dr
Wilmington DE 19808-1772
Phone: (302) 239-3655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | G5-0000748 | Delaware |
Profile Details
| NPI number | 1629166269 |
|---|---|
| LBN Legal business name | Collins, Dale Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629166269 | NPPES |
| Delaware | MEDICAID | 1000034520 |
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