DELMARVA PROSTHODONTICS PA
NPI 1336100023
Dentist - Prosthodontics in Dover, DE

Active since March 31, 2006
871 S GOVERNORS AVE, SUITE 1, DOVER, DE 19904(302) 674-8331(302) 674-4342 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Delmarva Prosthodontics Pa NPPES

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

DELMARVA PROSTHODONTICS PA (NPI 1336100023) is a healthcare organization registered as a prosthodontics in Dover, Delaware and active in the NPI registry since March 2006. The organization lists Christopher David Burns, President Owner, as its authorized official.

NPPES Registry Identity

NPI1336100023
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameDELMARVA PROSTHODONTICS PA
Location Address871 S GOVERNORS AVE, SUITE 1Dover, DE 19904-4115
Mailing Address871 S Governors Ave, Suite 1Dover, DE 19904-4115 · (302) 674-8331 · Fax (302) 674-4342
Fax(302) 674-4342
Organization SubpartNo
Authorized OfficialChristopher David BurnsPresident Owner · (302) 674-8331
Enumeration DateMarch 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336100023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in DE · 1006
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
871 S GOVERNORS AVE, Dover, DE 19904

Other Identifiers 1

Medicaid0001058231DE

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delmarva Prosthodontics Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Delmarva Prosthodontics PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1669436903
871 S GOVERNORS AVE SUITE #1
Dover, DE 19904
(302) 674-8331
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Delmarva Prosthodontics PA's NPI number?

The NPI number for Delmarva Prosthodontics PA is 1336100023. It was assigned to this organization in the NPPES registry on March 31, 2006.

Where is Delmarva Prosthodontics PA located?

Delmarva Prosthodontics PA is located at 871 S Governors Ave Suite 1, Dover, DE 19904. The listed phone number is (302) 674-8331.

What is Delmarva Prosthodontics PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Delmarva Prosthodontics PA enrolled in Medicare?

Yes. Delmarva Prosthodontics PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Delmarva Prosthodontics PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Delmarva Prosthodontics PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Delmarva Prosthodontics PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.