Healthcare Provider Details

I. General information

NPI: 1457490245
Provider Name (Legal Business Name): CHARLES J INGA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALFRED I. DUPONT HOSPITAL FOR CHILDREN 1600 ROCKLAND ROAD
WILMINGTON DE
19803
US

IV. Provider business mailing address

CORPORATE CREDENTIALING P. O. BOX 269
WILMINGTON DE
19899
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-4000
  • Fax: 302-651-4945
Mailing address:
  • Phone: 302-651-5938
  • Fax: 302-651-6077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number20120
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number20120
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: