Provider Demographics
NPI:1811034499
Name:EHRENFELD, DAVID CHARLES (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CHARLES
Last Name:EHRENFELD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 GREENBANK RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3115
Mailing Address - Country:US
Mailing Address - Phone:302-994-2582
Mailing Address - Fax:302-994-5151
Practice Address - Street 1:710 GREENBANK RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3115
Practice Address - Country:US
Practice Address - Phone:302-994-2582
Practice Address - Fax:302-994-5151
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE821122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist