institution
Dr. George T. Derenzo
Pediatric Dentist in Wilmington, Delaware
NPI 1972720373

Dr. George T. Derenzo is a Pediatric Dentist based in Wilmington, DE and is specialized in Pediatric Dentistry. Dr. George T. Derenzo practices in Wilmington, DE. The NPI Number for Dr. George T. Derenzo is 1972720373 and holds a License No. G1-0001106 (Delaware).

The current practice location address for Dr. George T. Derenzo is 2000 Foulk Rd, Wilmington, DE and can be reached out via phone at 302-475-3110 and via fax at 302-475-5206. You can also correspond with Dr. George T. Derenzo through the mailing address at 2000 FOULK RD, WILMINGTON, DE - 19810-3642 (mailing address contact number: 302-475-3110).

Location: 2000 Foulk Rd, Wilmington, DE, 19810-3642
institution
Provider Profile Details
NPI Number
1972720373
Provider Name
Dr. George T. Derenzo
Credential
Provider Entity Type
Organization
Address
2000 Foulk Rd, Wilmington, DE, 19810-3642
Phone Number
302-475-3110
Fax Number
302-475-5206
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0001060631 05 DE
institution
Provider Business Practice Location Address Details
Address
2000 Foulk Rd
City
State
Zip
19810-3642
Phone Number
302-475-3110
Fax Number
302-475-5206
person
Provider Business Mailing Address Details
Address
2000 Foulk Rd
City
State
Zip
19810-3642
Phone Number
302-475-3110
Fax Number
302-475-5206
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
G1-0001106 (Delaware)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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