Etern S Park
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
501 West 14th Street Suite 2w44, Wilmington Hospital
Wilmington
, Delaware 19801-2200
Etern S Park
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
501 West 14th Street Suite 2w44, Wilmington Hospital
Wilmington
, Delaware 19801-2200
(302) 320-5730
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Etern S Park
- 501 W 14th St Ste 2w44
- Wilmington, DE
- Zip : 19801-1013
- Phone : (302) 320-5730
Second Address
- Etern S Park
- 501 West 14th Street Suite 2w44, Wilmington Hospital
- Wilmington, DE
- Zip : 19801-2200
- Phone : (302) 320-5730
Reviews
FAQs
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In what state does Etern S Park practice in?
Where is Etern S Park ’s practice located?
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Is Etern S Park a sole practitioner?
Is Etern S Park accepting new patients?
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Does Etern S Park accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 053210 | NY |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | C1-0011804 | DE |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | G3-0000458 | DE |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 269333 | NY |
National Provider Identifier
| NPI | 1124289905 |
|---|---|
| Provider Name | Etern S Park |
| First Address | Wilmington, DE 19801-1013 |
| Second Address | Wilmington, DE 19801-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2008 |
| Last Update Date | 10/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.