Dr. George T. Derenzo in Wilmington - Pediatric Dentistry
Dr. George T. Derenzo - NPI 1972720373
Dr. George T. Derenzo is a Pediatric Dentistry in Wilmington, Delaware. Dr. George T. Derenzo practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dr. George T. Derenzo is 1972720373. The last update date is 2012-01-20.
Dr. George T. Derenzo's current location address is 2000 Foulk Rd, Wilmington, Delaware. You can contact this provider via phone number 3024753110 and fax number 3024755206. The mailing address for Dr. George T. Derenzo is 2000 Foulk Rd, Wilmington, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. George T. Derenzo |
|---|---|
| Address | 2000 Foulk Rd, Wilmington, Delaware |
| Phone Number | 3024753110 |
| Fax Number | 3024755206 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Derenzo T George |
| Credentials | D.D.S. |
| Telephone Number | 3024753110 |
NPI Number Detail
| NPI Number | 1972720373 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2012-01-20 |
Provider Mailing Address Detail
| Address | 2000 Foulk Rd |
|---|---|
| City | Wilmington |
| State | Delaware (DE) |
| Post Code | 198103642 |
| Phone Number | 3024753110 |
| Fax Number | 3024755206 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | G1-0001106 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1060631 | DE | -- |
Post Comment/ Review Below
What is the Dr. George T. Derenzo's 1972720373?
The Dr. George T. Derenzo's NPI (National Provider Identifier) Number is 1972720373. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Dr. George T. Derenzo?
The Dr. George T. Derenzo is situated at 2000 Foulk Rd, in the city of Wilmington, state of DE, with the zip code 198103642.
What is Dr. George T. Derenzo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dr. George T. Derenzo is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did Dr. George T. Derenzo receive its 1972720373 assignment from the Centers for Medicare & Medicaid Services?
The Dr. George T. Derenzo was assigned its 1972720373 on 2007-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Dr. George T. Derenzo most recently updated or refreshed?
The details pertaining to the Dr. George T. Derenzo, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-20.