Provider Demographics
NPI:1518108174
Name:NEW CASTLE DENTAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:NEW CASTLE DENTAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMISH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-328-1513
Mailing Address - Street 1:92 READS WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1631
Mailing Address - Country:US
Mailing Address - Phone:302-328-1513
Mailing Address - Fax:302-328-2352
Practice Address - Street 1:92 READS WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1631
Practice Address - Country:US
Practice Address - Phone:302-328-1513
Practice Address - Fax:302-328-2352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-0000902122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1417101528OtherNPI-DR. ROBERT FRIEDBERG
DE1124181391OtherNPI-DR. STEVEN CHAMISH