Provider Demographics
NPI:1922301506
Name:DEVON SADLOWSKI DMD PA
Entity Type:Organization
Organization Name:DEVON SADLOWSKI DMD PA
Other - Org Name:DENTISTRY AT WALKER SQUARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVON
Authorized Official - Middle Name:C
Authorized Official - Last Name:SADLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:302-735-8640
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEGI-00010581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty