NPI 1013136738

J.Michael Fay, D.D.S.,p.A.

Organisation General Practice Dentistry Wilmington, DE

Practice location

Address: 3105 Limestone Rd Suite 304, Wilmington, DE 19808-2147
Phone: (302) 998-2244
Fax: (302) 995-7134

Authorised official

Name: Mark Christoher Dellose
Title: President
Phone: (302) 998-2244

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DEA#AF4127230 (DE)

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Registry record

NPI: 1013136738
Entity type: Organization
NPI issued: 24 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.