SOUTHERN DE ASSOCIATES OF ORAL & MAXILLOFACIAL SURGERY
NPI 1063744795
Dentist - Oral and Maxillofacial Surgery in Frederica, DE

Q: What is Southern De Associates Of Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since February 05, 2010

126 WEST FRONT ST., FREDERICA, DE 19946(302) 335-2601(302) 335-2603 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern De Associates Of Oral & Maxillofacial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN DE ASSOCIATES OF ORAL & MAXILLOFACIAL SURGERY (NPI 1063744795) is a healthcare organization registered as an oral and maxillofacial surgery in Frederica, Delaware and active in the NPI registry since February 2010. The organization lists Allison Kowalchick, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063744795

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHERN DE ASSOCIATES OF ORAL & MAXILLOFACIAL SURGERY

Location Address126 WEST FRONT ST.Frederica, DE 19946

Mailing AddressPo Box 266Frederica, DE 19946-0266 · (302) 335-2601 · Fax (302) 335-2603

Phone(302) 335-2601

Fax(302) 335-2603

Organization SubpartNo

Authorized OfficialAllison KowalchickOffice Manager · (302) 644-7654

Enumeration DateFebruary 5, 2010

✔ NPI 1063744795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in DE · 2010600241

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

126 WEST FRONT ST., Frederica, DE 19946

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern De Associates Of Oral & Maxillofacial Surgery's NPI number?

The NPI number for Southern De Associates Of Oral & Maxillofacial Surgery is 1063744795. It was assigned to this organization in the NPPES registry on February 5, 2010.

Where is Southern De Associates Of Oral & Maxillofacial Surgery located?

Southern De Associates Of Oral & Maxillofacial Surgery is located at 126 West Front St., Frederica, DE 19946. The listed phone number is (302) 335-2601.

What is Southern De Associates Of Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Southern De Associates Of Oral & Maxillofacial Surgery was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.