FIRST STATE ORAL AND MAXILLOFACIAL SURGERY CORP
NPI 1922127232
Dentist - Oral and Maxillofacial Surgery in Dover, DE
About First State Oral And Maxillofacial Surgery Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FIRST STATE ORAL AND MAXILLOFACIAL SURGERY CORP (NPI 1922127232) is a healthcare organization registered as an oral and maxillofacial surgery in Dover, Delaware and active in the NPI registry since March 2007. The organization lists Douglas Lynn Ditty, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
First State Oral And Maxillofacial Surgery Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to First State Oral And Maxillofacial Surgery Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Newark, DE 19713
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 First State Oral And Maxillofacial Surgery Corp's NPI number?
The NPI number for First State Oral And Maxillofacial Surgery Corp is 1922127232. It was assigned to this organization in the NPPES registry on March 28, 2007.
Where is First State Oral And Maxillofacial Surgery Corp located?
First State Oral And Maxillofacial Surgery Corp is located at 1004 S State St Ste 1, Dover, DE 19901. The listed phone number is (302) 674-4450.
What is First State Oral And Maxillofacial Surgery Corp's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is First State Oral And Maxillofacial Surgery Corp enrolled in Medicare?
Yes. First State Oral And Maxillofacial Surgery Corp is registered in the Medicare PECOS enrollment system.
When is First State Oral And Maxillofacial Surgery Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Delaware, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through First State Oral And Maxillofacial Surgery Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to First State Oral And Maxillofacial Surgery Corp. 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.
What insurance does First State Oral And Maxillofacial Surgery Corp accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware and 1 other insurer list First State Oral And Maxillofacial Surgery Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for First State Oral And Maxillofacial Surgery Corp was last updated on November 5, 2019. 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.
# First State Oral And Maxillofacial Surgery Corp · NPI 1922127232
Oral and Maxillofacial Surgery organization in Dover, Delaware. Organization record, active in the CMS NPPES registry since March 28, 2007.
## Identity
- **NPI:** 1922127232 (Entity type: Organization)
- **Enumerated:** March 28, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Douglas Ditty, OWNER
## Practice location
- **Address:** 1004 S STATE ST STE 1, Dover, DE 19901-6901
- **Phone:** (302) 674-4450 · **Fax:** (302) 678-3228
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Delaware, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 5, 2019
- **Other identifiers:** Medicaid 1000039185 (DE)
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Source: [NPI Profile](https://npiprofile.com/npi/1922127232) · Data from the CMS NPPES public registry.