IndividualActive
Edward Yalisove, DMD
NPI 1518167014 · General Practice Dentistry · Wilmington, DE
Provider details
- NPI number
- 1518167014
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G10000900 (DE)
Specialties & taxonomies
Dental Providers
Practice location
1111 North Franklin Street
Wilmington, DE 19806-4327
Phone: (302) 658-4124
Fax: (302) 656-0927
Approximate (ZIP-level) locationGet directions
Mailing address
1111 North Franklin Street
Wilmington, DE 19806-4327
Registry dates
- Enumerated
- 2007-07-23
- Last updated
- 2007-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.