Park Place Dental

LBN: Foulk Road Dental
Park Place Dental is an health care organization with primary practice located at 300 Foulk Rd Suite 101, Wilmington DE 19803-3886. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Foulk Road Dental can be contacted via phone (302) 652-3775, or through Russo, John N via phone (302) 652-3775.

Contact Information

Primary practice address
300 Foulk Rd Suite 101 Wilmington DE 19803-3886
Phone: (302) 652-3775
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russo, John N Doctor of Dental Surgery (DDS)
Phone: (302) 652-3775

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X GI0000719 Delaware
Dental Providers / General Practice 1223G0001X GI0001031 Delaware
Dental Providers / General Practice 1223G0001X GI00001157 Delaware
Dental Providers / General Practice 1223G0001X GI00001156 Delaware

Profile Details

NPI number 1750435350
LBN Legal business name Foulk Road Dental
DBA Doing business as Park Place Dental
Authorized official Russo, John N Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 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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