Provider Demographics
NPI:1942504857
Name:DELAWARE VALLEY ORTHODONTICS
Entity type:Organization
Organization Name:DELAWARE VALLEY ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:BAKER
Authorized Official - Last Name:RAWLINS
Authorized Official - Suffix:II
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:484-467-5795
Mailing Address - Street 1:5500 SKYLINE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1772
Mailing Address - Country:US
Mailing Address - Phone:302-239-3531
Mailing Address - Fax:302-239-5352
Practice Address - Street 1:5500 SKYLINE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1772
Practice Address - Country:US
Practice Address - Phone:302-239-3531
Practice Address - Fax:302-239-5352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty