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NPI Code Detail

MEDICARE: MID-ATLANTIC DENTAL PARTNERS DELAWARE II PROFESSIONAL ASSOCIATES

MEDICARE: MID-ATLANTIC DENTAL PARTNERS DELAWARE II PROFESSIONAL ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry
21223P0221XPediatric Dentistry
31223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1427567379
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-ATLANTIC DENTAL PARTNERS DELAWARE II PROFESSIONAL ASSOCIATES
Provider Business Mailing Address
First Line : 600 W GERMANTOWN PIKE STE 400
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1046
Country : US
Telephone Number : 856-381-7196
Fax Number :
Provider Business Practice Location Address
First Line : 4201 MILLER RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19802-1914
Country : US
Telephone Number : 302-765-2272
Fax Number : 302-765-0800
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : SUZANNE D BAALS
Credential : RDH
Telephone Number : 856-381-7196
Provider Enumeration Date : 09/22/2017
Last Update Date : 11/05/2025

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Directions to “MID-ATLANTIC DENTAL PARTNERS DELAWARE II PROFESSIONAL ASSOCIATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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