Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southbridge Medical Advisory Council Inc

Organization Dentist · NPI 1639417280

Southbridge Medical Advisory Council Inc is a Dentist in Wilmington, Delaware. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 N Lombard St
Wilmington, DE 19801-4429
Phone: (302) 761-4610
Fax: (302) 655-6606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dentist Taxonomy 122300000X

Record details

NPI number1639417280
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthbridge Medical Advisory Council Inc
Authorized official Rosa Rivera — Chief Executive Officer · (302) 427-9696
Other names Henrietta Johnson Medical Center
NPI enumeratedJanuary 16, 2013
Last updated in NPPESJanuary 16, 2013
Mailing address601 New Castle Ave, Wilmington, DE 19801-5821

Other providers in Wilmington