Provider Demographics
NPI:1891917266
Name:SWEENEY, PATRICK F III (DMD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:F
Last Name:SWEENEY
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 SHALLCROSS AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-2344
Mailing Address - Country:US
Mailing Address - Phone:302-658-7200
Mailing Address - Fax:302-658-7500
Practice Address - Street 1:1700 SHALLCROSS AVE STE 2
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-2344
Practice Address - Country:US
Practice Address - Phone:302-658-7200
Practice Address - Fax:302-658-7500
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1057122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE202289843OtherDELTA DENTAL
DE65978OtherMET LIFE
DE2753OtherDOMINION
DE513299OtherAETNA
DE102485OtherUNITED CONCORDIA
DE023666OtherDELTA