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General NPI Number Information
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NPI Number | 1093865289
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Entity Type | Organization
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Legal Business Name | THE DELAWARE CENTER FOR ENDODONTICS AND MICROSURGERY
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 114 SAINT ANNES CHURCH RD
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1495
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Country | US
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Telephone | 302-285-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 114 SAINT ANNES CHURCH RD
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1495
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Country | US
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Telephone | 302-285-0350
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGEOR JOSEPH DEARING
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Credential | D.M.D.
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Telephone | 302-285-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | G1-0001197
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License Number State | DE
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