Provider Demographics
NPI:1104384973
Name:DENTAL BEAR LLC
Entity Type:Organization
Organization Name:DENTAL BEAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/INSURANCE COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SYLVESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-656-4557
Mailing Address - Street 1:1 WINSTON AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19804-1760
Mailing Address - Country:US
Mailing Address - Phone:302-656-8266
Mailing Address - Fax:302-656-4661
Practice Address - Street 1:1229 QUINTILIO DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-6005
Practice Address - Country:US
Practice Address - Phone:302-656-4557
Practice Address - Fax:302-656-4661
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL DIAMOND LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty