Provider Demographics
NPI:1518183557
Name:SADLOWSKI, DEVON CARL (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEVON
Middle Name:CARL
Last Name:SADLOWSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:882 WALKER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2792
Mailing Address - Country:US
Mailing Address - Phone:302-735-8940
Mailing Address - Fax:302-735-8948
Practice Address - Street 1:882 WALKER RD
Practice Address - Street 2:SUITE A
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2792
Practice Address - Country:US
Practice Address - Phone:302-735-8940
Practice Address - Fax:302-735-8948
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG100010581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice