James Joseph Dibelka in Shiprock - General Practice
James Joseph Dibelka - NPI 1336132984
James Joseph Dibelka is a General Practice in Shiprock, New Mexico. James Joseph Dibelka practices all healthcare services and medical treatments related to General Practice. The NPI Number for James Joseph Dibelka is 1336132984. The last update date is 2020-03-13.
James Joseph Dibelka's current location address is Po Box 160, Shiprock, New Mexico. You can contact this provider via phone number 5053686001. The mailing address for James Joseph Dibelka is Po Box 160, Shiprock, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Joseph Dibelka |
|---|---|
| Address | Po Box 160, Shiprock, New Mexico |
| Phone Number | 5053686001 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1336132984 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2020-03-13 |
Provider Mailing Address Detail
| Address | Po Box 160 |
|---|---|
| City | Shiprock |
| State | New Mexico (NM) |
| Post Code | 874200160 |
| Phone Number | 5053686001 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 0401 006200 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0401 006200 | VA | DENTAL LICENSE |
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What is the James Joseph Dibelka's unique identification number?
The James Joseph Dibelka has been assigned the NPI (National Provider Identifier) Number 1336132984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the James Joseph Dibelka's area of specialization and corresponding taxonomy classification?
The James Joseph Dibelka's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did the James Joseph Dibelka receive its 1336132984?
The James Joseph Dibelka was issued its 1336132984 on 2005-08-30, which is the date when the organization was assigned this unique identifier.
On what date did the James Joseph Dibelka receive its 1336132984 assignment from the Centers for Medicare & Medicaid Services?
The James Joseph Dibelka was assigned its 1336132984 by the Centers for Medicare & Medicaid Services on 2005-08-30.
As of what date were the James Joseph Dibelka's details last updated?
The information pertaining to the James Joseph Dibelka, including its address, specialty, and other details, was most recently updated on 2020-03-13.