First State Oral And Maxillofacial Surgery Corp is a Oral and Maxillofacial Dental Clinic in Dover, Delaware. It is located at 1004 S State St Ste 1, Dover, DE and its contact number is 302-674-4450. The authorized person for First State Oral And Maxillofacial Surgery Corp is Dr. Douglas Lynn Ditty
who is Owner of the clinic and their contact number is 302-674-4450. The primary license number for First State Oral And Maxillofacial Surgery Corp is G100093 (Oral and Maxillofacial Surgery) in Delaware. First State Oral And Maxillofacial Surgery Corp Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
First State Oral And Maxillofacial Surgery Corp Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
First State Oral And Maxillofacial Surgery Corp
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
1004 S State St Ste 1, Dover, Delaware, 19901-6901
Phone:
302-674-4450
Fax:
302-678-3228
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:
Dr. Douglas Lynn Ditty
Position:
Owner
Contact Number:
302-674-4450
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 First State Oral And Maxillofacial Surgery Corp clinic are as mentioned below.
NPI Number:
1922127232
NPI Enumeration Date:
28 Mar, 2007
NPI Last Update On:
05 Nov, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for First State Oral And Maxillofacial Surgery Corp are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
G100093
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
1000039185
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:
First State Oral And Maxillofacial Surgery Corp 1004 S State St Ste 1, Dover, Delaware
Zip:
19901-6901
Phone Number:
302-674-4450
Fax Number:
302-678-3228
Patients can reach First State Oral And Maxillofacial Surgery Corp at 1004 S State St Ste 1, Dover, Delaware or can call to book an appointment on 302-674-4450. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.