IndividualActive
Junior Dover, DDS
NPI 1457406407 · General Practice Dentistry · Dover, DE
Provider details
- NPI number
- 1457406407
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- G1-0001245 (DE)
Specialties & taxonomies
Dental Providers
Practice location
1084 S State St
Dover, DE 19901-6925
Phone: (302) 672-7766
Fax: (302) 672-7769
Approximate (ZIP-level) locationGet directions
Mailing address
1084 S State St
Dover, DE 19901-6925
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2025-03-13
- Certified
- 2025-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.