Doctor Name: | DR. JESSICA S. DICERBO |
NPI Number: | 1528258779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.M.D. |
License Number: | DS037213 |
Business Practice Address: | 18947 John J Williams Hwy Suite 309 Rehoboth Beach, DE - 199714474 |
Business Phone Number: | 3026444460 |
Business Fax Number: | 3026444470 |
Mailing Address: | 18947 John J Williams Hwy, Suite 309 REHOBOTH BEACH |
State: | DE |
Postal Code: | 199714474 |
Phone Number: | 3026444460 |
Fax Number: | 3026444470 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 05/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS037213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |