Ettinger, David B.

Ettinger, David B. is an individual health care provider with primary practice located at 131 E Chestnut Hill Rd , Newark DE 19713-4043. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ettinger, David B. can be contacted via phone (302) 369-1000.

Contact Information

Primary practice address
131 E Chestnut Hill Rd Newark DE 19713-4043
Fax: (302) 369-6016
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X G1-0001099 Delaware
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X C1-0005329 Delaware

Profile Details

NPI number 1982625547
LBN Legal business name Ettinger, David B.
Credentials M.D. D.M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982625547 NPPES
Other 510214XMD BC/BS
MEDICAID 1000033783 BC/BS
MEDICAID 0000939002 BC/BS
Other 268440 BC/BS
Other 2940 BC/BS
Other P10315 BC/BS

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