First State Oral And Maxillofacial Surgery Corp
Oral and Maxillofacial Dental Clinic
1004 S State St Ste 1, Dover
Delaware, 19901-6901
302-674-4450 302-678-3228
Maps & DirectionsFirst 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.