Provider Demographics
NPI:1669507612
Name:MAY, BETSY S (DMD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:S
Last Name:MAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 LIBRARY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7170
Mailing Address - Country:US
Mailing Address - Phone:302-366-8668
Mailing Address - Fax:302-366-8081
Practice Address - Street 1:850 LIBRARY AVE STE 102
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7170
Practice Address - Country:US
Practice Address - Phone:302-366-8668
Practice Address - Fax:302-366-8081
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-00011621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000028544Medicaid