DOVER ORAL AND MAXILLOFACIAL SURGERY
NPI 1619102811
Dentist - Oral and Maxillofacial Surgery in Dover, DE

Active since May 18, 2009
712 S GOVERNORS AVE, DOVER, DE 19904(302) 674-1140 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dover Oral And Maxillofacial Surgery NPPES

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

DOVER ORAL AND MAXILLOFACIAL SURGERY (NPI 1619102811) is a healthcare organization registered as an oral and maxillofacial surgery in Dover, Delaware and active in the NPI registry since May 2009. The organization lists Franklin Xavier Pancko, Oral And Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1619102811
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameDOVER ORAL AND MAXILLOFACIAL SURGERY
Location Address712 S GOVERNORS AVEDover, DE 19904-4106
Mailing Address3450 Wayne Ave Apt 28mBronx, NY 10467-2554 · (443) 939-0942
Organization SubpartNo
Authorized OfficialFranklin Xavier PanckoOral And Maxillofacial Surgeon · (443) 939-0942
Enumeration DateMay 18, 2009
NPI 1619102811 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 · G1-0001269
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.
712 S GOVERNORS AVE, Dover, DE 19904

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
712 S GOVERNORS AVE
DOVER, DE 19904

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 Dover Oral And Maxillofacial Surgery's NPI number?

The NPI number for Dover Oral And Maxillofacial Surgery is 1619102811. It was assigned to this organization in the NPPES registry on May 18, 2009.

Where is Dover Oral And Maxillofacial Surgery located?

Dover Oral And Maxillofacial Surgery is located at 712 S Governors Ave, Dover, DE 19904. The listed phone number is (302) 674-1140.

What is Dover Oral And 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 Dover Oral And Maxillofacial Surgery was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.