Delaware Gentle Dental Group

NPI #1497880942 in Smyrna, Delaware

Provider Information

NPI Number: 1497880942
Entity Type: Organization
Organization Name: Delaware Gentle Dental Group
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 17 N MAIN ST
City: Smyrna
State: Delaware
ZIP Code: 19977-1111
Phone: (302) 514-6200

Authorized Official

Name: DR. CLYDE A MAXWELL JR., DDS
Title: DENTIST
Phone: (302) 514-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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