Foulk Road Dental
Foulk Road Dental provides General Practice Dentistry in Wilmington, Delaware. Licensed in Delaware. Registered with an NPI since 2007.
- Licensed in
- DE
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
300 Foulk Rd Ste 101Wilmington, DE 19803-3886
Phone: (302) 652-3775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence GI0000719 (DE) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence GI0001031 (DE) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence GI00001157 (DE) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence GI00001156 (DE) |
Record details
| NPI number | 1750435350 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Russo — Owner · (302) 652-3775 |
| Other names | Park Place Dental |
| NPI enumerated | January 22, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1100 Lovering Ave, Wilmington, DE 19806-3273 |
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