Dr. George T. Derenzo

LBN: Dr. George T. Derenzo
Dr. George T. Derenzo is an health care organization with primary practice located at 2000 Foulk Rd Suite 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. Dr. George T. Derenzo can be contacted via phone (302) 475-3110, or through Derenzo, George T via phone (302) 475-3110.

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X G1-0001106 Delaware

Profile Details

NPI number 1972720373
LBN Legal business name Dr. George T. Derenzo
DBA Doing business as
Authorized official Derenzo, George T Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Jan 20th, 2012 - about 12 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 1972720373 NPPES
Delaware MEDICAID 0001060631

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