NPI 1013145366

Peninsula Dental, LLC

Organisation General Practice Dentistry Millsboro, DE

Practice location

Address: 26670 Centerview Dr Unit 19, Millsboro, DE 19966-3584
Phone: (302) 297-3750

Authorised official

Name: John T. Moore
Title: Office Manager
Phone: (302) 297-3750

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2009603113 (DE)

Other Dentist providers in Delaware →

Registry record

NPI: 1013145366
Entity type: Organization
NPI issued: 25 Jun 2009
Record last updated: 25 Jun 2009

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.