Etern S Park in Wilmington - Oral And Maxillofacial Surgery
Etern S Park - NPI 1124289905
Etern S Park is a Oral And Maxillofacial Surgery in Wilmington, Delaware. Etern S Park practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Etern S Park is 1124289905. The last update date is 2018-12-10.
Etern S Park's current location address is 501 W 14th St Ste 2w44, Wilmington, Delaware. You can contact this provider via phone number 3023205730. The mailing address for Etern S Park is 501 W 14th St Ste 2w44, Wilmington, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Etern S Park |
|---|---|
| Address | 501 W 14th St Ste 2w44, Wilmington, Delaware |
| Phone Number | 3023205730 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS, MD |
NPI Number Detail
| NPI Number | 1124289905 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2018-12-10 |
Provider Mailing Address Detail
| Address | 501 W 14th St Ste 2w44 |
|---|---|
| City | Wilmington |
| State | Delaware (DE) |
| Post Code | 198011013 |
| Phone Number | 3023205730 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | C1-0011804 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique identification code assigned to Etern S Park by the Centers for Medicare & Medicaid Services?
The Etern S Park has been issued the NPI (National Provider Identifier) 1124289905. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Etern S Park?
The Etern S Park is situated at 501 W 14Th St Ste 2W44, in the city of Wilmington, state of DE, with the zip code 198011013.
What is the area of specialization for Etern S Park, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Etern S Park is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124289905 to Etern S Park?
The Etern S Park received its 1124289905 assignment from the Centers for Medicare & Medicaid Services on 2008-06-24.
When was the information regarding Etern S Park, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Etern S Park, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-12-10.