Provider Demographics
NPI:1518380401
Name:TOWNSEND FAMILY AND COSMETIC DENTISTRY, LLC
Entity Type:Organization
Organization Name:TOWNSEND FAMILY AND COSMETIC DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNIOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOVER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-376-7979
Mailing Address - Street 1:3920 DUPONT PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-9390
Mailing Address - Country:US
Mailing Address - Phone:302-376-7979
Mailing Address - Fax:302-376-7988
Practice Address - Street 1:3920 DUPONT PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734-9390
Practice Address - Country:US
Practice Address - Phone:302-376-7979
Practice Address - Fax:302-376-7988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10001245122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty