Provider Demographics
NPI:1003915091
Name:BRICE, DARLA MARIE (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:DARLA
Middle Name:MARIE
Last Name:BRICE
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 YORK RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3735
Mailing Address - Country:US
Mailing Address - Phone:302-777-5161
Mailing Address - Fax:
Practice Address - Street 1:3512 SILVERSIDE RD STE 6
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4941
Practice Address - Country:US
Practice Address - Phone:302-478-4700
Practice Address - Fax:302-478-7747
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00010761223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics