Healthcare Provider Details

I. General information

NPI: 1699824797
Provider Name (Legal Business Name): SAQIB USMANI D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5317 LIMESTONE RD SUITE #2
WILMINGTON DE
19808-1252
US

IV. Provider business mailing address

201 CARTER DR
MIDDLETOWN DE
19709-5833
US

V. Phone/Fax

Practice location:
  • Phone: 302-239-6677
  • Fax:
Mailing address:
  • Phone: 302-285-7645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberG0001145
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: