Provider Demographics
NPI:1669257960
Name:CALM FAMILY DENTAL. LLC
Entity type:Organization
Organization Name:CALM FAMILY DENTAL. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NWANEKA
Authorized Official - Middle Name:CHIDI
Authorized Official - Last Name:NWOKOLO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-643-2304
Mailing Address - Street 1:215 N MARKET ST APT 310A
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-2563
Mailing Address - Country:US
Mailing Address - Phone:240-603-9331
Mailing Address - Fax:
Practice Address - Street 1:124 SLEEPY HOLLOW DR STE 202
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5838
Practice Address - Country:US
Practice Address - Phone:302-643-2304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental