OrganizationActive
First State Oral and Maxillofacial Surgery Corp
NPI 1922127232 · Oral and Maxillofacial Surgery (Dentist) · Dover, DE
Provider details
- NPI number
- 1922127232
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Douglas Ditty, Owner
- License
- G100093 (DE)
Practice location
1004 S State St Ste 1
Dover, DE 19901-6901
Phone: (302) 674-4450
Fax: (302) 678-3228
Mailing address
1004 S State St Ste 1
Dover, DE 19901-6901
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2019-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.