OrganizationActive
Southern De Associates of Oral & Maxillofacial Surgery
NPI 1063744795 · Oral and Maxillofacial Surgery (Dentist) · Frederica, DE
Provider details
- NPI number
- 1063744795
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Allison Kowalchick, Office Manager(302) 644-7654
- License
- 2010600241 (DE)
Specialties & taxonomies
Dental Providers
Practice location
126 West Front St.
Frederica, DE 19946
Phone: (302) 335-2601
Fax: (302) 335-2603
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 266
Frederica, DE 19946-0266
Registry dates
- Enumerated
- 2010-02-05
- Last updated
- 2010-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.