The Life Center Complex, Inc is a General Practice Dentistry (organization) practicing in Wilmington, Delaware. The National Provider Identifier (NPI) is #1750267027, which was assigned on August 13, 2025, and the registration record was last updated on August 13, 2025. The practitioner's main practice location is at 812 Philadelphia Pike Ste F, Wilmington, DE 19809-2371; the contact telephone number is 3024075316, and the fax number is 3024075307. The primary taxonomy of The Life Center Complex, Inc is General Practice Dentistry (1223G0001X), with specialization in General Practice. The authorized official for The Life Center Complex, Inc is Forrest Watson III (Ceo).
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
| NPI | 1750267027 |
| Entity Type | Organization |
| Organization Name | THE LIFE CENTER COMPLEX, INC |
| Provider Name | THE LIFE CENTER COMPLEX, INC |
| Practice Address |
812 Philadelphia Pike Ste F Wilmington DE 19809-2371 |
| Practice Telephone | 3024075316 |
| Practice Fax Number | 3024075307 |
| Mailing Address |
812 Philadelphia Pike Ste F Wilmington DE 19809-2371 |
| Mailing Telephone | 3024075316 |
| Certification Date | 2025-08-13 |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |
| Is Organization Subpart | N |
| Official Name | FORREST WATSON III |
| Official Title | CEO |
| Telephone | 3024075316 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 1223G0001X | Dentist | General Practice | 193200000X MULTI-SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| The Life Health Center Dental | Doing Business As Name |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| The Life Center Complex, Inc | 1570 N Dupont Hwy, Dover, DE 19901-2215 | Family Nurse Practitioner | 2026-04-11 |
| The Life Center Complex, Inc | 190 Salem Church Rd, Newark, DE 19713-2938 | Clinical Social Worker | 2026-04-11 |
| The Life Center Complex, Inc | 852 S Little Creek Rd, Dover, DE 19901-4722 | Clinical Social Worker | 2026-04-11 |
| The Life Center Complex, Inc | 750 E Delaware Ave, Newark, DE 19711-7185 | Clinical Social Worker | 2026-04-11 |
| The Life Center Complex, Inc | 713 E Basin Rd, New Castle, DE 19720-4201 | Clinical Social Worker | 2026-04-11 |
| Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| Classification | Dentist |
| Specialization | General Practice |
| Grouping | Dental Providers |
| Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Tammam Sagman | 36892 Fox Gln, Farmington Hills, MI 48331-1800 | General Practice Dentistry | 2026-06-06 |
| Michael Berglass, Dds PLLC | 1840 Forest Hill Blvd Ste 204, West Palm Beach, FL 33406-6059 | General Practice Dentistry | 2026-06-05 |
| Andrew Rigby | 44 E 100 S, Centerville, UT 84014-2293 | General Practice Dentistry | 2026-06-05 |
| Cailyn Grace Bobo | 1000 C M Fagan Dr Ste A, Hammond, LA 70403-6055 | General Practice Dentistry | 2026-06-05 |
| Cole Schultz | 954 Manhattan Blvd, Harvey, LA 70058-4606 | General Practice Dentistry | 2026-06-05 |
| Trey Jackson Asher | 2006 J Street, Auburn, NE 68305 | General Practice Dentistry | 2026-06-05 |
| Ryan Prieto | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664-2535 | General Practice Dentistry | 2026-06-05 |
| Yu Myong Hwang | 710 Denbigh Blvd # C, Newport News, VA 23608-4427 | General Practice Dentistry | 2026-06-05 |
| Jamie Mcguire | 3030 Us Highway 301 N, Ellenton, FL 34222-2010 | General Practice Dentistry | 2026-06-05 |
| Haley Jade Bruss | 309 E Main St, Morehead, KY 40351-1659 | General Practice Dentistry | 2026-06-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
812 PHILADELPHIA PIKE STE F |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19809-2371 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Karen C. Feeney | 222 Philadelphia Pike, Suite 1, Wilmington, DE 19809 | Chiropractor | 2006-07-24 |
| Raquel Ilanit Huerta | 2100 Haven Rd, Apt C, Wilmington, DE 19809 | Mental Health Counselor | 2018-03-26 |
| Brandywine Occupational Therapy, LLC | 800 Carr Road, Wilmington, DE 19809 | Rehabilitation Practitioner | 2010-08-24 |
| Melissa Gail Hickey | 900 Philadelphia Pike, Trinity Healing Center, Suite C, Wilmington, DE 19809 | Counselor | 2015-03-26 |
| Diamond State Youth, Inc. | 1413 Lore Avenue, Wilmington, DE 19809 | Mental Illness Community Based Residential Treatment Facility | 2007-02-02 |
| Allison Renee Randall | 700 A River Rd., Wilmington, DE 19809 | Clinical Social Worker | 2008-07-08 |
| Joseph G. Irwin, Dc, Pa/Pc | 1201 Philadelphia Pike, Suite D, Wilmington, DE 19809 | Orthopedic Chiropractor | 2010-01-14 |
| Faye Catherine Dube · Faye C Bachmura | 501 Silverside Road, Suite 50, Wilmington, DE 19809 | Addiction (Substance Use Disorder) Counselor | 2012-05-02 |
| Mary Lauren Lewis Janusz | 800 Carr Road, Wilmington, DE 19809 | Occupational Therapist | 2010-04-26 |
| Kathleen Welsh | 210 Bellefonte, Wilmington, DE 19809 | Behavioral Analyst | 2016-04-12 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Legacy Life Wellness Center LLC | 2183 Lisa Dr, Columbus, OH 43219-2035 | Community Health Worker | 2026-04-01 |
| The Life Center Complex, Inc. | 1901 S College Ave, Newark, DE 19702-2377 | Clinical Social Worker | 2026-04-11 |
| Aligned Life Center, LLC | 29 Sunlight Church Rd, Sandy Hook, MS 39478-9469 | Adult Day Care Clinic/Center | 2026-04-24 |
| Family Life Enrichment Center, Inc. | 3450 New High Shoals Road, High Shoals, GA 30645-0001 | Skilled Nursing Facility | 2007-01-31 |
| Christ Health Center, Inc. · The Foundry Medical Center | 608 18th Street North, Bessener, AL 35020 | Family Medicine Physician | 2006-08-09 |
| Medical Center Pharmacy and Home Care Center, Inc. | 633 Middlesex Tpke, Old Saybrook, CT 06475-1220 | Durable Medical Equipment & Medical Supplies | 2026-06-05 |
| Lumina One Life Center | 106 W Third Ave, Gastonia, NC 28052-4321 | Developmentally Disabled Services Day Training Agency | 2026-03-24 |
| Integrity Complex Care Management, LLC | 1632 Madison Ln Se, Conyers, GA 30013-2968 | Case Management Agency | 2026-04-09 |
| Another New Life LLC | 4405 Sw 72nd Ave, Palm City, FL 34990-5368 | Substance Abuse Rehabilitation Facility | 2026-03-24 |
| Life PCa LLC | 70 S Orange Ave Ste 220, Livingston, NJ 07039-4920 | Home Health Aide | 2026-04-24 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |