Dr. George T. Derenzo is a Pediatric Dental Clinic in Wilmington, Delaware. It is located at 2000 Foulk Rd, Suite C, Wilmington, DE and its contact number is 302-475-3110. The authorized person for Dr. George T. Derenzo is Mr. George T Derenzo
who is Owner of the clinic and their contact number is 302-475-3110. The primary license number for Dr. George T. Derenzo is G1-0001106 (Pediatric Dentistry) in Delaware. Dr. George T. Derenzo Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Dr. George T. Derenzo Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Dr. George T. Derenzo
Specialization:
Pediatric Dentistry
Clinic Address:
2000 Foulk Rd, Suite C, Wilmington, Delaware, 19810-3642
Phone:
302-475-3110
Fax:
302-475-5206
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. George T Derenzo
Position:
Owner
Contact Number:
302-475-3110
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dr. George T. Derenzo clinic are as mentioned below.
NPI Number:
1972720373
NPI Enumeration Date:
19 Apr, 2007
NPI Last Update On:
20 Jan, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. George T. Derenzo are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
G1-0001106
Delaware
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0001060631
Medicaid
Delaware
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. George T. Derenzo 2000 Foulk Rd, Suite C Wilmington, Delaware
Zip:
19810-3642
Phone Number:
302-475-3110
Fax Number:
302-475-5206
Patients can reach Dr. George T. Derenzo at 2000 Foulk Rd, Suite C, Wilmington, Delaware or can call to book an appointment on 302-475-3110. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.